Hospital or ASC Call (D9420) — National Rates

Negotiated reimbursement rates for D9420 across 46 states, sourced from CMS Transparency in Coverage data. 446 rate records.

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National Average Negotiated Rate
$215
446 rate records · 46 states
📊 Data updated monthly · Last refresh: March 2026

About D9420 — Hospital or ASC Call

D9420 is designated for hospital or ambulatory surgical center (ASC) calls, where dental services are provided in a hospital setting. This code is typically used for patients requiring sedation or those with complex medical conditions that necessitate treatment in a controlled environment. Documentation must detail the patient's medical history, the reason for the hospital visit, and the procedures performed. Reimbursement for D9420 can be higher than standard office visits, but it varies by payor and state regulations, with some insurers requiring pre-authorization for hospital-based services.

Reimbursement rates for D9420 vary significantly by state, payor, and provider network. The national average negotiated rate is $215. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D9420

North Dakota
$500
2 records
Oregon
$318
8 records
District of Columbia
$314
2 records

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Full National Breakdown

Median
$205
Low
$44
High
$578

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
North Dakota$500
Oregon$318
District of Columbia$314
New Hampshire$297
New York$293

↓ Bottom 5

StateAvg Rate
Iowa$118
Kansas$110
Tennessee$107
Minnesota$96
Nebraska$76

All States — D9420 Average Rates

North Dakota
$500
Oregon
$318
District of Columbia
$314
New Hampshire
$297
New York
$293
Hawaii
$272
California
$263
Connecticut
$260
Colorado
$259
Washington
$247
Maine
$245
Indiana
$238
Louisiana
$234
Wyoming
$234
North Carolina
$233
Delaware
$231
Arizona
$230
Pennsylvania
$227
Alaska
$223
New Jersey
$216
Massachusetts
$209
Illinois
$209
Florida
$208
South Carolina
$208
Kentucky
$206
Maryland
$198
Ohio
$195
Arkansas
$194
Georgia
$194
Alabama
$186
Virginia
$183
Texas
$183
Nevada
$176
Rhode Island
$166
Montana
$158
Missouri
$151
Utah
$148
West Virginia
$146
New Mexico
$142
Michigan
$134
Idaho
$126
Iowa
$118
Kansas
$110
Tennessee
$107
Minnesota
$96
Nebraska
$76
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
North Dakota$500$500$500$5002
Oregon$318$326$263$3268
District of Columbia$314$314$245$3832
New Hampshire$297$328$236$3283
New York$293$227$80$57826
Hawaii$272$272$217$3262
California$263$301$65$38281
Connecticut$260$260$255$2654
Colorado$259$296$130$33614
Washington$247$263$175$32611
Maine$245$236$225$29510
Indiana$238$241$208$24113
Louisiana$234$234$234$2342
Wyoming$234$234$234$2341
North Carolina$233$236$151$3039
Delaware$231$231$231$2311
Arizona$230$251$123$32810
Pennsylvania$227$233$122$57811
Alaska$223$223$223$2231
New Jersey$216$224$144$29511
Massachusetts$209$205$65$3287
Illinois$209$172$65$35610
Florida$208$194$142$32610
South Carolina$208$226$125$26310
Kentucky$206$212$163$2443
Maryland$198$228$120$2649
Ohio$195$248$65$2487
Arkansas$194$194$194$1941
Georgia$194$194$179$20927
Alabama$186$192$164$2036
Virginia$183$187$85$2708
Texas$183$200$65$20530
Nevada$176$133$126$2535
Rhode Island$166$166$149$1832
Montana$158$158$158$1581
Missouri$151$158$65$19712
Utah$148$148$123$1732
West Virginia$146$146$146$1461
New Mexico$142$142$142$14215
Michigan$134$132$132$16616
Idaho$126$147$65$1474
Iowa$118$65$65$50012
Kansas$110$117$65$1306
Tennessee$107$115$65$1403
Minnesota$96$85$60$1719
Nebraska$76$76$68$832
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