Hospital or ASC Call (D9420) in New York

Negotiated reimbursement rates for D9420 from CMS Transparency in Coverage data. Based on 26 rate records from 26 providers in New York.

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Average Negotiated Rate in New York
$293
26 rate records · 26 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D9420 in New York. 23 provider records.

Provider City Rate Percentile
EndodontistLiverpool$578100th
EndodontistFort Drum$578100th
EndodontistLiverpool$578100th
EndodontistLiverpool$578100th
EndodontistLiverpool$578100th
OrthodontistBronx$26577th
General DentistHarrison$26577th
Pediatric DentistForest Hills$26069th
Pediatric DentistNew York$26069th
PeriodontistSuffern$24562nd
Dental LabBrooklyn$22758th
Dental LabBrooklyn$22758th
Pediatric DentistBrooklyn$22758th
Dental LabStaten Island$22758th
Dental LabBrooklyn$22758th
Pediatric DentistStaten Island$22758th
General DentistNew York$21135th
Oral SurgeonJackson Heights$20431st
General DentistPort Chester$20431st
Pediatric DentistPoughkeepsie$18823rd

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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 New York 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
$227
Low
$80
High
$578
25th Percentile
$204
75th Percentile
$265
Data Points
26

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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