CDT D4921
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 irrigation with a medicinal agent – per quadrant
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$113
Median
$93
High
$392
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 96 hospitals; the 90th percentile is 15.4× 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 | $128 | $112 | $74 | 66% | — | $22 – $295 |
| 2 | Hoopeston Community Memorial Hospital Hoopeston, IL | $20 | $20 | — | — | — | $20 – $20 |
| 3 | Deaconess Hospital, Inc Newburgh, IN | $130 | $198 | $82 | 42% | — | $123 – $417 |
| 4 | Sanford USD Medical Center Sioux Falls, SD | $162 | $129 | $50 | 39% | — | $59 – $166 |
| 5 | Munson Healthcare Charlevoix Hospital Charlevoix, MI | $20 | $20 | $2 | 8% | — | $18 – $22 |
| 6 | Fairview Health Services Minneapolis, MN | $128 | $134 | $103 | 77% | — | $22 – $452 |
| 7 | Vanderbilt Bedford Hospital Shelbyville, TN | $0 | $0 | — | — | — | $0 – $0 |
| 8 | The Medical Center of Central Georgia Inc Macon, GA | $32 | $32 | — | — | — | $32 – $32 |
| 9 | Vanderbilt University Medical Center Nashville, TN | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Methodist Medical Center of Illinois Peoria, IL | $20 | $20 | $0 | 2% | — | $20 – $20 |
Ask Claude or any MCP client for CDT D4921 pricing at a specific hospital — see how to connect.