CDT D4240
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
gingival flap procedure, including root planing - four or more contiguous teeth or tooth bounded spaces per quadrant
Prices here combine facility and professional fees. See them separately →Experimental
Low
$187
Average
$2.3k
Median
$749
High
$9.6k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 97 hospitals; the 90th percentile is 23.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Fairview Health Services Edina, MN | $2.0k | $2.5k | $2.0k | 81% | — | $221 – $7.4k |
| 2 | Hoopeston Community Memorial Hospital Hoopeston, IL | $219 | $219 | — | — | — | $219 – $219 |
| 3 | Deaconess Hospital, Inc Newburgh, IN | $3.2k | $4.8k | $2.0k | 42% | — | $3.0k – $10.2k |
| 4 | Sanford USD Medical Center Sioux Falls, SD | $4.0k | $3.1k | $1.2k | 39% | — | $1.4k – $4.0k |
| 5 | Munson Healthcare Charlevoix Hospital Charlevoix, MI | $259 | $259 | $26 | 10% | — | $233 – $285 |
| 6 | Fairview Health Services Minneapolis, MN | $2.2k | $2.9k | $2.7k | 94% | — | $221 – $11.4k |
| 7 | Vanderbilt Bedford Hospital Shelbyville, TN | $469 | $406 | $214 | 53% | — | $0 – $782 |
| 8 | The Medical Center of Central Georgia Inc Macon, GA | $347 | $347 | — | — | — | $347 – $347 |
| 9 | Vanderbilt University Medical Center Nashville, TN | $469 | $403 | $213 | 53% | — | $0 – $782 |
| 10 | Methodist Medical Center of Illinois Peoria, IL | $216 | $216 | $3 | 1% | — | $213 – $219 |
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