Rates› California› D9420

Hospital or ASC Call (D9420) in California

Negotiated reimbursement rates for D9420 from CMS Transparency in Coverage data. Based on 81 rate records from 81 providers in California.

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Average Negotiated Rate in California
$263
81 rate records · 81 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D9420 in California. 78 provider records.

Provider City Rate Percentile
Oral & Maxillofacial Surgery (MD)Palo Alto$38099th
General DentistSan Jose$38099th
EndodontistSouth San Francisco$34996th
EndodontistDaly City$34996th
EndodontistNorth Hills$33694th
Oral SurgeonRocklin$33694th
General DentistSacramento$33694th
General DentistSacramento$33694th
PeriodontistElk Grove$33694th
Oral SurgeonRoseville$33694th
Oral SurgeonLafayette$33694th
PeriodontistRoseville$33694th
General DentistRancho Mirage$33694th
General DentistChino Hills$33083rd
EndodontistIrvine$33083rd
PeriodontistSan Francisco$32680th
Oral SurgeonOakland$32479th
Oral SurgeonSan Bernardino$31878th
PeriodontistArcadia$31677th
Dentist AnesthesiologistFolsom$31375th

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What is D9420?

Hospital or ASC Call (CDT Code D9420) — These rates represent negotiated amounts between dental insurance payors and providers in California as reported in CMS Transparency in Coverage machine-readable files.

Top States for D9420

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

43+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$301
Low
$65
High
$382
25th Percentile
$176
75th Percentile
$313
Data Points
81

Compare D9420 Rates Across All 46 States

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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