CDT D5213 · Prosthodontics
Maxillary Partial Denture - Cast Metal Framework
Upper partial denture, cast metal
Cost verdict
According to ADA Health Policy Institute fee baselines and Medicaid Reimbursement Compendium modeling, Maxillary Partial Denture - Cast Metal Framework shows sparse modeled Medicaid coverage (19/51 jurisdictions) alongside a national private average of $2,065 with 36% state-to-state spread.
- D5213
- ADA CDT code
- Prosthodontics
- Procedure category
- 2026-05-16
- Data vintage
- 51
- Jurisdictions tracked
Modeled Medicaid figures are ADA HPI-based estimates, not live fee schedules or benefit determinations.
Archive split · jurisdictions
How 51 jurisdictions split for Maxillary Partial Denture - Cast Metal Framework
Exclusive split of the procedure×state archive: modeled adult Medicaid estimate present vs private-market estimate only. Orthogonal to the price board and coverage-share gauge below. Source: ADA HPI / procedure_costs. See how we calculate state and Medicaid estimates.
ADA HPI reimbursement spread brief
Maxillary Partial Denture - Cast Metal Framework modeled reimbursement posture
Entity-varying stamps from ADA HPI Survey of Dental Fees and Medicaid Reimbursement Compendium modeling for CDT D5213 - not a clone nationwide scaffold.
- D5213 Procedure code
- $2,065 Nat'l private avg
- $1,117 Avg Medicaid est.
- 54% Medicaid / private
- 19/51 Jurisdictions w/ est.
- HIGH Private-fee lane
- #5 Private-fee rank
Reimbursement-ratio neighbourhood
Modeled Medicaid as a share of private average among nearest spread peers (snapshot 2026-05-16).
Price board and coverage share
Highest private-market estimates among jurisdictions with a figure, plus the share of the 51-jurisdiction archive that carries a modeled adult Medicaid estimate for this CDT, set against the corpus mean. Archive completeness, not a treatment recommendation.
Top private estimates · Maxillary Partial Denture - Cast Metal Framework
Modeled Medicaid coverage share
Source: ADA Health Policy Institute Survey of Dental Fees and Medicaid Reimbursement Compendium procedure_costs private_estimate / medicaid_fee · 2026-05-16 Private estimates use ADA HPI national midpoints × BEA Regional Price Parities. Medicaid dollars are modeled, not live fee-schedule transcriptions or benefit determinations.
How Maxillary Partial Denture - Cast Metal Framework compares across all tracked procedures
62 CDT procedures with a national private-market average, banded by price.
Maxillary Partial Denture - Cast Metal Framework vs 62 tracked procedures
National private-market average, ADA HPI Survey of Dental Fees
$2,065 5th of 62 higher than 57 of 62 procedures
Procedures, banded by national private-market average
Each bar is a $0.001K-wide band; taller bars hold more procedures. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.
Source ADA Health Policy Institute Survey of Dental Fees · 2026-05-16
Maxillary Partial Denture - Cast Metal Framework cost by state
| State | Modeled Medicaid | Private estimate | vs nat'l private |
|---|---|---|---|
| Alaska | $1,494 | $2,226 | +8% |
| New York | $1,392 | $2,475 | +20% |
| District of Columbia | $1,337 | $2,453 | +19% |
| Minnesota | $1,309 | $2,119 | +3% |
| Connecticut | $1,217 | $2,304 | +12% |
| North Dakota | $1,217 | $1,938 | -6% |
| Massachusetts | $1,180 | $2,331 | +13% |
| Washington | $1,116 | $2,310 | +12% |
| California | $1,088 | $2,390 | +16% |
| New Jersey | $1,088 | $2,388 | +16% |
| Maryland | $1,079 | $2,325 | +13% |
| Oregon | $1,079 | $2,157 | +4% |
| Vermont | $1,070 | $2,106 | +2% |
| Iowa | $996 | $1,906 | -8% |
| Virginia | $996 | $2,148 | +4% |
| Rhode Island | $959 | $2,119 | +3% |
| New Hampshire | $940 | $2,211 | +7% |
| Michigan | $867 | $2,001 | -3% |
| Illinois | $793 | $2,106 | +2% |
| Hawaii | – | $2,388 | +16% |
| Colorado | – | $2,163 | +5% |
| Delaware | – | $2,114 | +2% |
| Maine | – | $2,095 | +1% |
| Nevada | – | $2,095 | +1% |
| Florida | – | $2,093 | +1% |
| Pennsylvania | – | $2,058 | 0% |
| Arizona | – | $2,037 | -1% |
| Utah | – | $2,034 | -1% |
| Texas | – | $2,032 | -2% |
| Wisconsin | – | $2,018 | -2% |
| Wyoming | – | $2,009 | -3% |
| Montana | – | $1,982 | -4% |
| Idaho | – | $1,973 | -4% |
| North Carolina | – | $1,952 | -5% |
| Georgia | – | $1,950 | -6% |
| New Mexico | – | $1,946 | -6% |
| Nebraska | – | $1,927 | -7% |
| South Carolina | – | $1,927 | -7% |
| Louisiana | – | $1,925 | -7% |
| Missouri | – | $1,925 | -7% |
| Ohio | – | $1,925 | -7% |
| Indiana | – | $1,916 | -7% |
| Kansas | – | $1,910 | -7% |
| Tennessee | – | $1,906 | -8% |
| Oklahoma | – | $1,887 | -9% |
| Kentucky | – | $1,874 | -9% |
| South Dakota | – | $1,868 | -10% |
| Arkansas | – | $1,853 | -10% |
| West Virginia | – | $1,853 | -10% |
| Alabama | – | $1,826 | -12% |
| Mississippi | – | $1,820 | -12% |
Analysis: how to think about maxillary partial denture - cast metal framework costs
The prosthodontics category spread for maxillary partial denture - cast metal framework (CDT D5213) runs 36% between the cheapest and priciest states in our 2024 dataset, and cost of living explains most of that gap, not procedure difficulty.
19 of 51 jurisdictions (50 states + DC) carry a modeled adult Medicaid estimate for this code, averaging $1,117 (about 54% of the private rate). The other 32 jurisdictions have no modeled estimate in this dataset (often emergency-only or uncovered tiers). These are not live fee-schedule pulls, confirm coverage with the state program. Related: finding affordable dental care.
Maxillary Partial Denture - Cast Metal Framework FAQ
How much does maxillary partial denture - cast metal framework cost in the United States?
The national private-market average for maxillary partial denture - cast metal framework (CDT D5213) is approximately $2,065 based on the ADA Health Policy Institute Survey of Dental Fees (2024). State variation runs from $1,820 (lowest cost-of-living states) to $2,475 (highest).
Does Medicaid cover maxillary partial denture - cast metal framework?
Our database marks 19 jurisdictions with a modeled adult Medicaid estimate for maxillary partial denture - cast metal framework (average $1,117, range $793-$1,494). These are ADA HPI-based models, not live fee-schedule pulls or benefit determinations, confirm coverage and reimbursement with the state program.
How does the cost of maxillary partial denture - cast metal framework compare with other dental procedures?
By national private-market average, Maxillary Partial Denture - Cast Metal Framework (CDT D5213) ranks #5 of 62 procedures tracked by PlainDentalCost (highest average = #1), placing it in the high fee lane.
About this data
How PlainDentalCost works, and why you can trust these numbers
What this site is
PlainDentalCost organizes dental procedure cost information published by state Medicaid agencies, the ADA Health Policy Institute, and the Bureau of Economic Analysis. Every cost figure on this page is derived from a public, citable source named below.
Editorial process
- Source. Load ADA HPI Survey of Dental Fees and Medicaid Reimbursement Compendium baselines, MACPAC coverage tiers, and BEA Regional Price Parities.
- Verify. Scale private baselines by state RPP; model Medicaid dollars as national ADA HPI Medicaid average × state multiplier; align coverage flags to MACPAC tiers.
- Publish. Compile per-procedure and per-state pages showing modeled Medicaid and private-market cost estimates, with every figure traceable via the methodology page.
Editorial independence & corrections
CDT (Current Dental Terminology) codes are a copyrighted code set of the American Dental Association; PlainDentalCost references CDT codes factually for cost-transparency purposes (fair use) and does not republish the CDT manual. Estimates, not quotes -- see our disclaimer. Found a figure that looks wrong? Reach us via the contact page; see our editorial standards and corrections policy for how we handle it.
Frequently asked
How much does maxillary partial denture - cast metal framework cost in the United States?
The national private-market average for maxillary partial denture - cast metal framework (CDT D5213) is approximately $2,065 based on the ADA Health Policy Institute Survey of Dental Fees (2024). State variation runs from $1,820 (lowest cost-of-living states) to $2,475 (highest).
Does Medicaid cover maxillary partial denture - cast metal framework?
Our database marks 19 jurisdictions with a modeled adult Medicaid estimate for maxillary partial denture - cast metal framework (average $1,117, range $793-$1,494). These are ADA HPI-based models, not live fee-schedule pulls or benefit determinations, confirm coverage and reimbursement with the state program.
How does the cost of maxillary partial denture - cast metal framework compare with other dental procedures?
By national private-market average, Maxillary Partial Denture - Cast Metal Framework (CDT D5213) ranks #5 of 62 procedures tracked by PlainDentalCost (highest average = #1), placing it in the high fee lane.
Every dollar figure on PlainDentalCost is rendered directly from our procedure-cost database (ADA Health Policy Institute Survey of Dental Fees 2024 averages and state adult-Medicaid coverage records), and no number is typed in by an editor. Medicaid dollar values are modeled estimates, not published state fee schedules. The table on this page is one row per US jurisdiction in our database holding a private estimate or a modeled adult-Medicaid value for CDT D5213. Read our editorial standards and corrections policy, the methodology behind these numbers, or report a data error. Our database was last rebuilt on 16 May 2026.
PlainDentalCost publishes cost reference data for informational purposes only. It is not dental, medical, insurance, or financial advice, it does not describe what any particular practice will charge you, and coverage rules change, so confirm fees with the provider and benefits with the state Medicaid program before you rely on a number. Appropriate use.