Immediate Lower Partial Denture — Cast Metal (D5224) — National Rates

Negotiated reimbursement rates for D5224 across 48 states, sourced from CMS Transparency in Coverage data. 768 rate records.

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National Average Negotiated Rate
$1,062
768 rate records · 48 states
📊 Data updated monthly · Last refresh: March 2026

About D5224 — Immediate Lower Partial Denture — Cast Metal

D5224 describes an immediate lower partial denture with a cast metal base. This procedure is indicated for patients requiring immediate tooth replacement after extractions. Proper documentation should include clinical notes, extraction dates, and any imaging. Billing considerations include potential differences in reimbursement based on the payor's policies and state regulations. The average reimbursement for this procedure is not typically specified, leading to variability in coverage and payment.

Reimbursement rates for D5224 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 D5224

California
$1,382
90 records
Alaska
$1,324
4 records
Washington
$1,289
9 records

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Full National Breakdown

Median
$1,031
Low
$83
High
$1,985

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
California$1,382
Alaska$1,324
Washington$1,289
Utah$1,261
Delaware$1,252

↓ Bottom 5

StateAvg Rate
Rhode Island$858
Tennessee$803
Vermont$770
Nebraska$767
Louisiana$765

All States — D5224 Average Rates

California
$1,382
Alaska
$1,324
Washington
$1,289
Utah
$1,261
Delaware
$1,252
Wisconsin
$1,236
New Jersey
$1,226
Oregon
$1,212
Connecticut
$1,202
Nevada
$1,188
South Dakota
$1,176
New Hampshire
$1,162
North Dakota
$1,162
Maine
$1,160
Virginia
$1,134
Colorado
$1,131
New Mexico
$1,111
District of Columbia
$1,082
Missouri
$1,067
Maryland
$1,050
Minnesota
$1,048
West Virginia
$1,040
Arizona
$1,040
Ohio
$992
Mississippi
$983
Florida
$977
Pennsylvania
$973
Alabama
$972
Idaho
$970
New York
$967
Iowa
$958
Georgia
$953
Texas
$952
Illinois
$944
South Carolina
$928
Massachusetts
$927
North Carolina
$907
Kentucky
$891
Kansas
$876
Michigan
$874
Puerto Rico
$867
Hawaii
$863
Indiana
$859
Rhode Island
$858
Tennessee
$803
Vermont
$770
Nebraska
$767
Louisiana
$765
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
California$1,382$1,478$595$1,98590
Alaska$1,324$1,262$1,160$1,6104
Washington$1,289$1,267$1,111$1,5779
Utah$1,261$1,132$1,004$1,7774
Delaware$1,252$1,252$1,252$1,2521
Wisconsin$1,236$1,209$885$1,43410
New Jersey$1,226$1,276$795$1,51514
Oregon$1,212$1,184$908$1,5775
Connecticut$1,202$1,299$731$1,5917
Nevada$1,188$1,162$731$1,65074
South Dakota$1,176$1,176$1,176$1,1761
New Hampshire$1,162$1,284$712$1,50615
North Dakota$1,162$1,162$758$1,5662
Maine$1,160$1,134$1,134$1,2509
Virginia$1,134$1,225$722$1,50021
Colorado$1,131$1,028$680$1,61611
New Mexico$1,111$1,053$850$1,4303
District of Columbia$1,082$1,082$984$1,1812
Missouri$1,067$1,065$723$1,39517
Maryland$1,050$1,097$712$1,42923
Minnesota$1,048$850$638$1,67626
West Virginia$1,040$1,040$983$1,0972
Arizona$1,040$999$772$1,50619
Ohio$992$888$722$1,21214
Mississippi$983$1,006$680$1,1966
Florida$977$960$500$1,83227
Pennsylvania$973$1,040$676$1,27721
Alabama$972$933$781$1,2778
Idaho$970$960$772$1,1826
New York$967$922$500$1,69040
Iowa$958$958$500$1,4172
Georgia$953$955$712$1,19423
Texas$952$901$500$1,27537
Illinois$944$856$774$1,3509
South Carolina$928$880$529$1,60039
Massachusetts$927$722$722$1,50620
North Carolina$907$885$712$1,27766
Kentucky$891$850$638$1,2777
Kansas$876$723$723$1,3137
Michigan$874$871$638$1,07915
Puerto Rico$867$867$867$8671
Hawaii$863$885$772$9333
Indiana$859$788$788$1,0003
Rhode Island$858$858$722$9932
Tennessee$803$750$595$1,21214
Vermont$770$770$770$7701
Nebraska$767$754$609$9534
Louisiana$765$680$680$1,27711
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