Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Generation details were not recorded for this description.
Original text from hospital filings
FULL MOUTH DEBRIDEMENT TO ENABLE A COMPREHENSIVE EVALUATION AND DIAGNOSIS ON A SUBSEQUENT VISIT
Springfield, OR
See all hospitals reporting HCPCS D4355 →Price type
Sacred Heart-Riverbend’s median price of $790 is 30% below the median hospital's median price ($1.1k), higher than 39% of the 561 hospitals reporting HCPCS D4355. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 8 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Regence medicare advantage hmo facility · other · outpatient | $750 | $750 | — | — | — | $750 – $750 |
| 2 | Regence medicare advantage ppo facility · other · outpatient | $750 | $750 | — | — | — | $750 – $750 |
| 3 | Kaiser medicare advantage facility · other · outpatient | $754 | $754 | — | — | — | $754 – $754 |
| 4 | UnitedHealthcare medicare payer appendix facility · other · outpatient | $754 | $754 | — | — | — | $754 – $754 |
| 5 | WellCare medicare advantage facility · other · outpatient | $790 | $790 | — | — | — | $790 – $790 |
| 6 | Regence commercial facility · other · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 7 | UnitedHealthcare doctors plan facility · other · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 8 | UnitedHealthcare all payer appendix facility · other · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
Last updated: Mar 20, 2026
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