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CPT D4212

Gingivectomy/plasty rest

Reported by 26 hospitals in the network under the case rate methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$2.3k

Average

$3.7k

Median

$3.4k

High

$6.3k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$2.5k$3.6k$6.3k$12.0k$3.6k
2IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$3.1k$3.4k$3.3k$3.6k$137
3IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$2.8k$3.4k$3.3k$3.9k$347
4IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$2.6k$3.4k$3.4k$3.8k$314
5IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$2.9k$3.4k$3.4k$3.7k$186
6IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$2.9k$3.4k$3.4k$3.9k$214
7Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$3.2k$6.2k$5.8k$8.9k$2.0k
8Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$3.2k$3.2k$5.2k$8.5k$2.5k
9IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$2.6k$3.4k$3.3k$3.7k$313
10St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$3.3k$3.3k$3.3k$3.4k$39
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