Rates› Texas› D9420

Hospital or ASC Call (D9420) in Texas

Negotiated reimbursement rates for D9420 from CMS Transparency in Coverage data. Based on 30 rate records from 30 providers in Texas.

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Average Negotiated Rate in Texas
$183
30 rate records · 30 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D9420 in Texas. 26 provider records.

Provider City Rate Percentile
Oral SurgeonJbsa Ft Sam Houston$205100th
Oral SurgeonHouston$205100th
EndodontistBee Cave$205100th
OrthodontistKilleen$205100th
Oral SurgeonMesquite$205100th
General DentistAustin$205100th
OrthodontistRound Rock$205100th
General DentistBee Cave$205100th
EndodontistAustin$205100th
General DentistFort Sam Houston$205100th
Dental LabKilleen$205100th
PeriodontistAustin$205100th
General DentistDallas$19450th
General DentistSachse$18947th
General DentistSachse$18947th
General DentistBoerne$18040th
General DentistBoerne$18040th
General DentistDallas$18040th
General DentistDuncanville$18040th
General DentistBoerne$18040th

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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 Texas 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
$200
Low
$65
High
$205
25th Percentile
$180
75th Percentile
$205
Data Points
30

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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