What is the average cost of Immediate Upper Partial Denture — Cast Metal (D5223)?

The national average negotiated reimbursement rate for Immediate Upper Partial Denture — Cast Metal (D5223) is $1,090, based on 734 rate records from CMS Transparency in Coverage data across 50 states.

Which state has the highest Immediate Upper Partial Denture — Cast Metal reimbursement rate?

Hawaii has the highest average negotiated rate for D5223 (Immediate Upper Partial Denture — Cast Metal) at $1,577, based on 1 rate records.

How much does Immediate Upper Partial Denture — Cast Metal cost in Iowa?

The average negotiated rate for D5223 (Immediate Upper Partial Denture — Cast Metal) in Iowa is $642, which is among the lowest in the nation based on CMS Transparency in Coverage data.

How many providers offer Immediate Upper Partial Denture — Cast Metal nationwide?

Based on CMS Transparency in Coverage data, 692 providers across 50 states have negotiated rates on file for D5223 (Immediate Upper Partial Denture — Cast Metal), totaling 734 rate records.

Immediate Upper Partial Denture — Cast Metal (D5223) — National Rates

Negotiated reimbursement rates for D5223 across 50 states, sourced from CMS Transparency in Coverage data. 734 rate records.

National Average Negotiated Rate

$1,090

734 rate records · 50 states

📊 Data updated monthly · Last refresh: March 2026

About D5223 — Immediate Upper Partial Denture — Cast Metal

D5223 is the code for an immediate upper partial denture made with a cast metal base. This type of denture is indicated for patients who have lost upper teeth and need immediate restoration. Clinical documentation should include extraction notes and a treatment plan. Billing for this procedure can be complex, as some payors may classify it differently or have specific criteria for coverage. The average reimbursement for this procedure is not typically listed, but it can vary widely based on the insurance provider and state regulations.

Reimbursement rates for D5223 vary significantly by state, payor, and provider network. The national average negotiated rate is $1. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D5223

Hawaii

$1,577

1 records

Oregon

$1,480

13 records

New Hampshire

$1,458

4 records

47+ more states available with Pro ↓

Full National Breakdown

Median

$1,074

Low

$83

High

$1,985

Highest & Lowest Reimbursement States

↑ Top 5

State	Avg Rate
Hawaii	$1,577
Oregon	$1,480
New Hampshire	$1,458
California	$1,397
Washington	$1,386

↓ Bottom 5

State	Avg Rate
Nebraska	$847
Tennessee	$843
Alabama	$803
Wyoming	$772
Iowa	$642

All States — D5223 Average Rates

Hawaii

$1,577

Oregon

$1,480

New Hampshire

$1,458

California

$1,397

Washington

$1,386

Nevada

$1,354

Oklahoma

$1,341

Alaska

$1,328

Connecticut

$1,318

Wisconsin

$1,299

Kansas

$1,245

Minnesota

$1,236

Maine

$1,228

New York

$1,220

New Mexico

$1,198

Colorado

$1,181

New Jersey

$1,179

Illinois

$1,169

Missouri

$1,168

Maryland

$1,162

South Dakota

$1,149

Delaware

$1,128

North Dakota

$1,116

Virginia

$1,114

Arizona

$1,095

West Virginia

$1,085

Texas

$1,084

Florida

$1,040

Rhode Island

$1,033

Michigan

$1,020

Pennsylvania

$1,013

Utah

$998

District of Columbia

$986

South Carolina

$986

Kentucky

$964

Georgia

$962

Mississippi

$961

Idaho

$956

Indiana

$955

Ohio

$925

North Carolina

$905

Louisiana

$902

Arkansas

$881

Massachusetts

$874

Puerto Rico

$849

Nebraska

$847

Tennessee

$843

Alabama

$803

Wyoming

$772

Iowa

$642

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State-by-State Comparison Table

State	Average	Median	Min	Max	Records
Hawaii	$1,577	$1,577	$1,577	$1,577	1
Oregon	$1,480	$1,577	$1,184	$1,577	13
New Hampshire	$1,458	$1,506	$1,313	$1,506	4
California	$1,397	$1,443	$781	$1,985	49
Washington	$1,386	$1,361	$1,206	$1,577	7
Nevada	$1,354	$1,329	$723	$1,777	12
Oklahoma	$1,341	$1,124	$1,067	$1,832	3
Alaska	$1,328	$1,364	$998	$1,610	6
Connecticut	$1,318	$1,434	$871	$1,530	4
Wisconsin	$1,299	$1,226	$1,185	$1,458	8
Kansas	$1,245	$1,313	$1,004	$1,395	7
Minnesota	$1,236	$1,275	$638	$1,676	21
Maine	$1,228	$1,228	$1,205	$1,250	2
New York	$1,220	$1,168	$732	$1,691	24
New Mexico	$1,198	$1,053	$937	$1,430	7
Colorado	$1,181	$1,176	$680	$1,465	17
New Jersey	$1,179	$1,141	$918	$1,515	22
Illinois	$1,169	$1,116	$893	$1,577	6
Missouri	$1,168	$1,107	$500	$1,395	51
Maryland	$1,162	$1,170	$774	$1,500	18
South Dakota	$1,149	$1,176	$1,016	$1,176	6
Delaware	$1,128	$1,128	$1,004	$1,252	2
North Dakota	$1,116	$1,212	$758	$1,459	6
Virginia	$1,114	$1,154	$774	$1,429	15
Arizona	$1,095	$1,170	$712	$1,325	26
West Virginia	$1,085	$1,085	$983	$1,187	2
Texas	$1,084	$1,016	$680	$1,676	59
Florida	$1,040	$1,087	$774	$1,577	46
Rhode Island	$1,033	$1,094	$810	$1,195	6
Michigan	$1,020	$975	$854	$1,395	8
Pennsylvania	$1,013	$936	$676	$1,691	10
Utah	$998	$1,011	$723	$1,209	8
District of Columbia	$986	$986	$984	$988	2
South Carolina	$986	$925	$545	$1,600	22
Kentucky	$964	$988	$798	$1,181	10
Georgia	$962	$898	$750	$1,676	55
Mississippi	$961	$1,006	$680	$1,196	3
Idaho	$956	$938	$855	$1,092	4
Indiana	$955	$1,000	$788	$1,078	3
Ohio	$925	$837	$500	$1,395	20
North Carolina	$905	$867	$752	$1,257	59
Louisiana	$902	$1,016	$680	$1,016	11
Arkansas	$881	$921	$616	$1,107	3
Massachusetts	$874	$802	$722	$1,300	12
Puerto Rico	$849	$849	$831	$867	2
Nebraska	$847	$864	$609	$1,050	4
Tennessee	$843	$889	$595	$1,107	11
Alabama	$803	$781	$781	$925	16
Wyoming	$772	$772	$772	$772	1
Iowa	$642	$500	$500	$1,176	9

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