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HCPCS D2652 · Other · Dental Procedures

Dental inlay resin 3/mre sur

Dental inlay resin procedures covering three or more tooth surfaces cost approximately $1,663 at hospital outpatient facilities, making bill verification essential given significant pricing variations across providers.

By Kevin Nyk , Medical Billing Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.

Medicare + CMS benchmark data
Publicly available pricing
Updated 2026-04-03
$99
Non-facility rate

Code D2652 covers a dental inlay made from resin material that restores three or more tooth surfaces, typically used when a tooth has extensive decay or damage but doesn't require a full crown. This procedure is commonly performed on patients with large cavities affecting multiple surfaces of posterior teeth. Billing requires documentation of the specific surfaces treated, as coverage varies significantly between dental insurance plans with some requiring pre-authorization for multi-surface restorations.

Non-facility rate

$99

Office setting benchmark

Data sources

3

22 data points

What this procedure costs across different settings

The same procedure can cost very different amounts depending on where it's performed. These are the Medicare-allowed amounts — what hospitals actually charge can be 3-10x higher.

SettingMedicare ratevs lowest
Non-facility (office)$99Lowest
Outpatient (APC)$1,663+1579%

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About this data

Rates shown are from the 2026 Medicare Physician Fee Schedule, Hospital Outpatient Prospective Payment System (OPPS), Ambulatory Surgery Center Payment System, Clinical Laboratory Fee Schedule, Durable Medical Equipment Fee Schedule, and CMS Inpatient Prospective Payment System (DRG weights). Regional adjustments use CMS Geographic Practice Cost Indices (GPCI). Hospital charges are from CMS Hospital Price Transparency machine-readable files. All data is publicly available under federal law (45 CFR Part 180).

This data is for informational purposes only and does not constitute medical or financial advice. Actual costs depend on insurance coverage, negotiated rates, and individual circumstances.

Related procedures

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

Related pricing data

Data: Federal physician fee schedules, hospital payment data, surgery center rates, lab fee schedules, and drug pricing data. FY 2024. All publicly available from federal sources.

Methodology: Facility rate applies when the procedure is performed in a hospital or ASC. Non-facility rate applies in a physician office. GPCI adjustments reflect regional cost-of-living differences.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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