Gingivectomy/plasty 4 or mor (CPT D4210)
D4210 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
96 of 4255 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Posted cash | Posted gross | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $2,993.40 | 0.0× |
| Othello Community Hospital | Othello, WA | $54.56 | $72.75 | $3,694.56 | 0.0× |
| Adventist Health Lodi Memorial | Lodi, CA | $54.67 | $781 | $4,372.97 | 0.0× |
| Adventist Health Sonora | Sonora, CA | $132.77 | $781 | $4,264.23 | 0.0× |
| Adventist Health Reedley | Reedley, CA | $148.39 | $781 | $4,264.23 | 0.0× |
| Adventist Health Ukiah Valley | Ukiah, CA | $156.20 | $781 | $4,264.23 | 0.0× |
| Touro | New Orleans, LA | $185.22 | $1,323 | $3,112.09 | 0.1× |
| Adventist Health Tehachapi Valley | Tehachapi, CA | $210.87 | $781 | $4,264.23 | 0.0× |
| Adventist Health Howard Memorial | Willits, CA | $234.30 | $781 | $4,264.23 | 0.1× |
| MetroHealth System | Cleveland, OH | $259 | $740 | $3,136.68 | 0.1× |
| Newark-Wayne Community Hospital | Newark, NY | $284.05 | $437 | $4,138.63 | 0.1× |
| Rochester General Hospital | Rochester, NY | $284.05 | $437 | $4,138.63 | 0.1× |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $284.05 | $437 | $4,138.63 | 0.1× |
| North Sunflower Medical Center range across 2 matching MRF lines |
Ruleville, MS | $300–$356.25 | $600–$712.50 | $2,858.45 | varies |
| University Medical Center New Orleans | New Orleans, LA | $323.18 | $1,469 | $3,002.14 | 0.1× |
| Manning Family Children's | New Orleans, LA | $329.94 | $1,222 | $3,112.09 | 0.1× |
| Unity Hospital of Rochester | Rochester, NY | $349.60 | $437 | $4,138.63 | 0.1× |
| Unity Specialty Hospital | Rochester, NY | $349.60 | $437 | $4,138.63 | 0.1× |
| Endeavor Health Clinical Operations | Evanston, IL | $372 | $372 | $3,552.91 | 0.1× |
| Swedish Hospital | Chicago, IL | $372 | $372 | $3,552.91 | 0.1× |
| Nebraska Medical Center | Omaha, NE | $406.25 | $625 | $3,442.75 | 0.1× |
| Bellevue Medical Center | Bellevue, NE | $406.25 | $625 | $3,442.75 | 0.1× |
| Contra Costa Regional Medical Center | Martinez, CA | $407 | $407 | $4,681.68 | 0.1× |
| Roswell Park Comprehensive Cancer Center | Buffalo, NY | $418.40 | $418.40 | $4,138.63 | 0.1× |
| Wynn Hospital | Utica, NY | $418.80 | $698 | $4,138.63 | 0.1× |
| University Health Truman Medical Center | Kansas City, MO | $448.25 | $815 | $3,320.81 | 0.1× |
| University Health Lakewood Medical Center | Kansas City, MO | $448.25 | $815 | $3,320.81 | 0.1× |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $454.23 | $890.65 | $3,230.98 | 0.1× |
| Strong Memorial Hospital range across 2 matching MRF lines |
Rochester, NY | $474.30–$3,935.40 | — | $4,138.63 | varies |
| Adventist Health Mendocino Coast | Fort Bragg, CA | $515.46 | $781 | $4,264.23 | 0.1× |
| Plumas District Hospital | Quincy, CA | $528 | $660 | $4,264.23 | 0.1× |
| Bayside Community Hospital | Anahuac, TX | $554 | $554 | $3,330.57 | 0.2× |
| Charleston Area Medical Center | Charleston, WV | $840 | $840 | $3,180.38 | 0.3× |
| Westchester Medical Center | Valhalla, NY | $849 | $849 | $4,138.63 | 0.2× |
| Kaleida Health | Buffalo, NY | $1,205 | $1,205 | $4,138.63 | 0.3× |
| Maimonides Medical Center | Brooklyn, NY | $1,287 | $1,287 | $4,138.63 | 0.3× |
| Community Hospital East | Indianapolis, IN | $1,560 | $2,600 | $3,507.79 | 0.4× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $1,562.40 | $2,790 | $4,813.99 | 0.3× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $1,562.40 | $2,790 | $4,792.45 | 0.3× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $1,562.40 | $2,790 | $4,707.49 | 0.3× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $1,562.40 | $2,790 | $4,870.89 | 0.3× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $1,562.40 | $2,790 | $4,849.96 | 0.3× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $1,562.40 | $2,790 | $4,792.45 | 0.3× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $1,562.40 | $2,790 | $4,707.49 | 0.3× |
| Kaiser Foundation Hospital | San Rafael, CA | $1,562.40 | $2,790 | $4,702.61 | 0.3× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $1,562.40 | $2,790 | $4,792.45 | 0.3× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $1,562.40 | $2,790 | $4,813.99 | 0.3× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $1,562.40 | $2,790 | $4,876.58 | 0.3× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $1,562.40 | $2,790 | $4,707.49 | 0.3× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $1,562.40 | $2,790 | $4,559.13 | 0.3× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $1,562.40 | $2,790 | $4,264.23 | 0.4× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $1,562.40 | $2,790 | $4,645.91 | 0.3× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $1,562.40 | $2,790 | $4,681.68 | 0.3× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $1,562.40 | $2,790 | $4,870.89 | 0.3× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $1,562.40 | $2,790 | $4,302.85 | 0.4× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $1,562.40 | $2,790 | $4,793.05 | 0.3× |
| Lakeside Medical Center | Belle Glade, FL | $3,255.33 | — | $3,462.26 | 0.9× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $3,561.05 | — | $3,010.88 | 1.2× |
| Mount Sinai Hospital | New York, NY | $3,780 | $4,200 | $4,138.63 | 0.9× |
| Mount Sinai West | New York, NY | $3,780 | $4,200 | $4,138.63 | 0.9× |
| Mount Sinai Brooklyn | Brooklyn, NY | $3,780 | $4,200 | $4,138.63 | 0.9× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $3,837.72 | $1,376.05 | $4,138.63 | 0.9× |
| Jacobi Medical Center | Bronx, NY | $3,837.72 | $1,376.05 | $4,138.63 | 0.9× |
| Elmhurst Hospital Center | Elmhurst, NY | $3,837.72 | $1,376.05 | $4,138.63 | 0.9× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $3,837.72 | $1,376.05 | $4,138.63 | 0.9× |
| Metropolitan Hospital Center | New York, NY | $3,837.72 | $1,376.05 | $4,138.63 | 0.9× |
| Kings County Hospital Center | Brooklyn, NY | $3,837.72 | $1,376.05 | $4,138.63 | 0.9× |
| Bellevue Hospital Center | New York, NY | $3,837.72 | $1,376.05 | $4,138.63 | 0.9× |
| Queens Hospital Center | Jamaica, NY | $3,837.72 | $1,376.05 | $4,138.63 | 0.9× |
| Harlem Hospital Center | New York, NY | $3,837.72 | $1,376.05 | $4,138.63 | 0.9× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $3,837.72 | $1,376.05 | $4,138.63 | 0.9× |
| Griffin Hospital | Derby, CT | $3,877.03 | — | $3,974.62 | 1.0× |
| Highland Hospital | Rochester, NY | $3,935.40 | — | $4,138.63 | 1.0× |
| Valleywise Health Medical Center | Phoenix, AZ | $4,068.55 | — | $3,537.87 | 1.1× |
| Nyack Hospital | Nyack, NY | $4,138.63 | — | $4,138.63 | 1.0× |
| Montefiore St. Luke's Cornwall | Newburgh, NY | $4,138.63 | — | $4,138.63 | 1.0× |
| Hilton Head Medical Center | Hilton Head Island, SC | $4,373.05 | — | $3,083.64 | 1.4× |
| East Cooper Medical Center | Mount Pleasant, SC | $4,373.05 | — | $3,083.64 | 1.4× |
| Coastal Carolina Medical Center | Hardeeville, SC | $4,373.05 | — | $3,083.64 | 1.4× |
| Children's Minnesota - Minneapolis Hospital range across 2 matching MRF lines |
Minneapolis, MN | $4,403–$8,808 | $4,403–$8,808 | $3,472.43 | varies |
| Henry Ford Macomb Hospital | Clinton Township, MI | $4,558.89 | — | $3,303.54 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $4,558.89 | — | $3,303.54 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $4,558.89 | — | $3,303.54 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $4,558.89 | — | $3,303.54 | 1.4× |
| Monroe Regional Hospital | Aberdeen, MS | $4,771 | $4,771 | $2,858.45 | 1.7× |
| Duncan Regional Hospital, Inc | Duncan, OK | $6,611.96 | — | $3,188.71 | 2.1× |
| Northwest Surgical Hospital | Oklahoma City, OK | $9,566.13 | — | $3,188.71 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $9,566.13 | — | $3,188.71 | 3.0× |
| St. Francis Hospital, Roslyn | Roslyn, NY | — | $722 | $4,138.63 | — |
| St. Charles Hospital | Port Jefferson, NY | — | $722 | $4,138.63 | — |
| Mercy Medical Center | Rockville Centre, NY | — | $722 | $4,138.63 | — |
| Good Samaritan Hospital Medical Center | West Islip, NY | — | $722 | $4,138.63 | — |
| St. Joseph Hospital | Bethpage, NY | — | $722 | $4,138.63 | — |
| St. Catherine of Siena Hospital | Smithtown, NY | — | $722 | $4,138.63 | — |
| Upstate University Hospital | Syracuse, NY | — | $933 | $4,138.63 | — |
| Jackson Memorial Hospital | Miami, FL | — | $5,193 | $3,462.26 | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.