Impact tooth rem bony w/comp
Surgical removal of an impacted tooth buried in bone costs between $893-$1,663 depending on whether you receive care at an ambulatory surgery center or hospital outpatient department, making it essential to verify your facility type before treatment.
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.
D7241 covers surgical removal of impacted teeth that are buried under bone and gum tissue, requiring bone removal and often involving complications like nerve proximity or unusual positioning. This procedure is typically performed on wisdom teeth in young adults or other impacted teeth in patients of various ages. From a billing perspective, this code carries higher reimbursement rates than simple extractions due to the increased surgical complexity and time required.
Non-facility rate
$99
Office setting benchmark
Data sources
4
23 data points
Key insights for HCPCS D7241
ASC vs hospital outpatient savings
$770Having this done at an ambulatory surgery center costs $893 vs $1,663 at a hospital outpatient
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.
| Setting | Medicare rate | vs lowest |
|---|---|---|
| Non-facility (office) | $99 | Lowest |
| Outpatient (APC) | $1,663 | +1579% |
| Ambulatory surgery (ASC) | $893 | +802% |
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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
Related pricing data
Data: Medicare Physician Fee Schedule, CMS Inpatient PPS (IPPS), Outpatient PPS (OPPS), ASC Payment System, Clinical Lab Fee Schedule (CLFS), National Average Drug Acquisition Cost (NADAC). FY 2024 data. All publicly available from CMS.
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