Gingival irrigation per quad (CPT D4921)
D4921 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
29 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 | — | $120.20 | 0.5× |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $60.90 | $119.41 | $129.74 | 0.5× |
| Lakeside Medical Center | Belle Glade, FL | $129.36 | — | $139.03 | 0.9× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $141.50 | — | $120.91 | 1.2× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $152.50 | — | $166.19 | 0.9× |
| Jacobi Medical Center | Bronx, NY | $152.50 | — | $166.19 | 0.9× |
| Elmhurst Hospital Center | Elmhurst, NY | $152.50 | — | $166.19 | 0.9× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $152.50 | — | $166.19 | 0.9× |
| Metropolitan Hospital Center | New York, NY | $152.50 | — | $166.19 | 0.9× |
| Kings County Hospital Center | Brooklyn, NY | $152.50 | — | $166.19 | 0.9× |
| Bellevue Hospital Center | New York, NY | $152.50 | — | $166.19 | 0.9× |
| Queens Hospital Center | Jamaica, NY | $152.50 | — | $166.19 | 0.9× |
| Harlem Hospital Center | New York, NY | $152.50 | — | $166.19 | 0.9× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $152.50 | — | $166.19 | 0.9× |
| Griffin Hospital | Derby, CT | $154.06 | — | $159.61 | 1.0× |
| Highland Hospital | Rochester, NY | $158.03 | — | $166.19 | 1.0× |
| Strong Memorial Hospital | Rochester, NY | $158.03 | — | $166.19 | 1.0× |
| Valleywise Health Medical Center | Phoenix, AZ | $163.38 | — | $142.07 | 1.1× |
| Nyack Hospital | Nyack, NY | $166.19 | — | $166.19 | 1.0× |
| Montefiore St. Luke's Cornwall | Newburgh, NY | $166.19 | — | $166.19 | 1.0× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $183.07 | — | $132.66 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $183.07 | — | $132.66 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $183.07 | — | $132.66 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $183.07 | — | $132.66 | 1.4× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $202.34 | — | $136.02 | 1.5× |
| Duncan Regional Hospital, Inc | Duncan, OK | $262.74 | — | $128.05 | 2.1× |
| Northwest Surgical Hospital | Oklahoma City, OK | $384.15 | — | $128.05 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $384.15 | — | $128.05 | 3.0× |
| Upstate University Hospital | Syracuse, NY | — | $147 | $166.19 | — |
"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.