Gingivectomy/plasty 1 to 3 (CPT D4211)

D4211 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.

79 of 4255 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.

Compare interactively: search all codes, set your location →

HospitalLocationPosted cashPosted grossMedicare pays× Medicare
Adventist Health Lodi Memorial Lodi, CA $42.77 $611 $4,372.97 0.0×
Nebraska Medical Center
range across 2 matching MRF lines
Omaha, NE $48.75–$156.65 $75–$241 $3,442.75 varies
Bellevue Medical Center
range across 2 matching MRF lines
Bellevue, NE $48.75–$156.65 $75–$241 $3,442.75 varies
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×
OHSU Hospital and Clinics Portland, OR $85.15 $131 $3,723.02 0.0×
Adventist Health Sonora Sonora, CA $103.87 $611 $4,264.23 0.0×
Aurelia Osborn Fox Memorial Hospital Oneonta, NY $108 $400 $4,138.63 0.0×
Mary Imogene Bassett Hospital Cooperstown, NY $108 $400 $4,138.63 0.0×
Adventist Health Reedley Reedley, CA $116.09 $611 $4,264.23 0.0×
Adventist Health Ukiah Valley Ukiah, CA $122.20 $611 $4,264.23 0.0×
Contra Costa Regional Medical Center Martinez, CA $124 $124 $4,681.68 0.0×
Newark-Wayne Community Hospital Newark, NY $128.05 $197 $4,138.63 0.0×
Rochester General Hospital Rochester, NY $128.05 $197 $4,138.63 0.0×
Clifton Springs Hospital and Clinic Clifton Springs, NY $128.05 $197 $4,138.63 0.0×
MetroHealth System Cleveland, OH $131.25 $375 $3,136.68 0.0×
University of Iowa Health Care Medical Center Downtown Iowa City, IA $149.80 $214 $3,187.29 0.0×
University of Iowa Health Care Medical Center Iowa City, IA $149.80 $214 $3,187.29 0.0×
North Sunflower Medical Center Ruleville, MS $150 $300 $2,858.45 0.1×
Touro New Orleans, LA $156.66 $1,119 $3,112.09 0.1×
Unity Hospital of Rochester Rochester, NY $157.60 $197 $4,138.63 0.0×
Unity Specialty Hospital Rochester, NY $157.60 $197 $4,138.63 0.0×
Adventist Health Tehachapi Valley Tehachapi, CA $164.97 $611 $4,264.23 0.0×
Wynn Hospital Utica, NY $171 $285 $4,138.63 0.0×
Franklin County Memorial Hospital Meadville, MS $176 $176 $2,858.45 0.1×
Adventist Health Howard Memorial Willits, CA $183.30 $611 $4,264.23 0.0×
Cincinnati Children's Hospital Medical Center Cincinnati, OH $253.23 $496.52 $3,230.98 0.1×
University Medical Center New Orleans New Orleans, LA $273.68 $1,244 $3,002.14 0.1×
Bayside Community Hospital Anahuac, TX $277 $277 $3,330.57 0.1×
Manning Family Children's New Orleans, LA $279.18 $1,034 $3,112.09 0.1×
Charleston Area Medical Center Charleston, WV $377 $377 $3,180.38 0.1×
Plumas District Hospital Quincy, CA $391.20 $489 $4,264.23 0.1×
Adventist Health Mendocino Coast Fort Bragg, CA $403.26 $611 $4,264.23 0.1×
Lackey Memorial Hospital Forest, MS $418 $418 $2,993.40 0.1×
Roswell Park Comprehensive Cancer Center Buffalo, NY $475.47 $475.47 $4,138.63 0.1×
Kaleida Health Buffalo, NY $482 $482 $4,138.63 0.1×
Maimonides Medical Center Brooklyn, NY $574 $574 $4,138.63 0.1×
Community Hospital East Indianapolis, IN $1,560 $2,600 $3,507.79 0.4×
Lakeside Medical Center Belle Glade, FL $3,255.33 — $3,462.26 0.9×
Mount Sinai Hospital New York, NY $3,330 $3,700 $4,138.63 0.8×
Mount Sinai West New York, NY $3,330 $3,700 $4,138.63 0.8×
Mount Sinai Brooklyn Brooklyn, NY $3,330 $3,700 $4,138.63 0.8×
Our Lady of the Lake Surgical Hospital Slidell, LA $3,561.05 — $3,010.88 1.2×
Monroe Regional Hospital Aberdeen, MS $3,578.25 $3,578.25 $2,858.45 1.3×
Lincoln Medical & Mental Health Center Bronx, NY $3,837.72 $754.63 $4,138.63 0.9×
Jacobi Medical Center Bronx, NY $3,837.72 $754.63 $4,138.63 0.9×
Elmhurst Hospital Center Elmhurst, NY $3,837.72 $754.63 $4,138.63 0.9×
NYC Health + Hospitals/South Brooklyn Health Brooklyn, NY $3,837.72 $754.63 $4,138.63 0.9×
Metropolitan Hospital Center New York, NY $3,837.72 $754.63 $4,138.63 0.9×
Kings County Hospital Center Brooklyn, NY $3,837.72 $754.63 $4,138.63 0.9×
Bellevue Hospital Center New York, NY $3,837.72 $754.63 $4,138.63 0.9×
Queens Hospital Center Jamaica, NY $3,837.72 $754.63 $4,138.63 0.9×
Harlem Hospital Center New York, NY $3,837.72 $754.63 $4,138.63 0.9×
Woodhull Medical & Mental Health Center Brooklyn, NY $3,837.72 $754.63 $4,138.63 0.9×
Griffin Hospital Derby, CT $3,877.03 — $3,974.62 1.0×
Children's Minnesota - Minneapolis Hospital
range across 2 matching MRF lines
Minneapolis, MN $3,888–$7,777 $3,888–$7,777 $3,472.43 varies
Highland Hospital Rochester, NY $3,935.40 — $4,138.63 1.0×
Strong Memorial 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×
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×
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 — $306 $4,138.63 —
St. Charles Hospital Port Jefferson, NY — $306 $4,138.63 —
Mercy Medical Center Rockville Centre, NY — $306 $4,138.63 —
Good Samaritan Hospital Medical Center West Islip, NY — $306 $4,138.63 —
St. Joseph Hospital Bethpage, NY — $306 $4,138.63 —
St. Catherine of Siena Hospital Smithtown, NY — $306 $4,138.63 —
Upstate University Hospital Syracuse, NY — $415 $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.