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 proc w/ planin
Low
$171
Average
$3.7k
Median
$3.5k
High
$15.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
465 hospitals; the 90th percentile is 2.2× 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.
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494 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $600 | $600 | — | — | — | $600 – $600 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $880 | $935 | $119 | 13% | — | $825 – $1.1k |
| 4 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 2 | $6.0k | $6.0k | $2.0k | 33% | — | $4.0k – $8.0k |
| 5 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $5.6k | $5.6k | $2.3k | 42% | — | $3.2k – $7.9k |
| 6 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 7 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $443 | $443 | — | — | — | $443 – $443 |
| 8 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 4 | $2.9k | $3.0k | $410 | 14% | — | $2.6k – $3.5k |
| 9 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 4 | $2.9k | $3.0k | $397 | 13% | — | $2.6k – $3.5k |
| 10 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 4 | $2.9k | $3.0k | $397 | 13% | — | $2.6k – $3.5k |
| 11 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 12 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 4 | $2.9k | $3.0k | $397 | 13% | — | $2.6k – $3.5k |
| 13 | AdventHealth Porter Denver, CO fee schedule · outpatient | 4 | $2.9k | $3.0k | $397 | 13% | — | $2.6k – $3.5k |
| 14 | Adventhealth Dade City Dade City, FL fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 15 | Adventhealth Daytona Beach Port Orange, FL fee schedule · outpatient | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 16 | Adventhealth Gordon Calhoun, GA fee schedule · outpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 17 | Adventhealth Hendersonville Hendersonville, NC fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 18 | Adventhealth Manchester Manchester, KY fee schedule · outpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 19 | Adventhealth Murray Chatsworth, GA fee schedule · outpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 20 | Adventhealth North Pinellas Palm Harbor, FL fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 21 | Adventhealth Ocala Ocala, FL fee schedule · outpatient | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 22 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 23 | Adventhealth Port Charlotte Port Charlotte, FL fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 24 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 3 | $4.7k | $4.3k | $607 | 14% | — | $3.4k – $4.7k |
| 25 | Adventhealth Shawnee Mission Lenexa, KS fee schedule · outpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
← Payers reporting HCPCS D4240 · Snapshot 20261112T124536Z-e251e855