Alveoloplasty not w/extracts
Alveoloplasty bone smoothing procedures show a potential difference of $824 between ambulatory surgery centers and hospital outpatient departments, making bill verification essential before scheduling.
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.
Alveoloplasty not in conjunction with extractions (D7321) involves reshaping and smoothing the jawbone ridge when performed as a standalone procedure, typically after previous tooth extractions have healed. Patients who need better-fitting dentures or have irregular bone contours commonly receive this treatment. This procedure typically charges 8.2x the Medicare reimbursement rate, with potential billing differences of $1,200 depending on the dental practice location.
Non-facility rate
$99
Office setting benchmark
Data sources
4
23 data points
Key insights for HCPCS D7321
ASC vs hospital outpatient savings
$824Having this done at an ambulatory surgery center costs $657 vs $1,481 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) | $1,481 | +1396% |
| Ambulatory surgery (ASC) | $657 | +564% |
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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