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
GNGVL FLAP W ROOTPLAN 1-3 TH
Low
$306
Average
$860
Median
$572
High
$1.5k
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Prices here combine facility and professional fees. See them separately →Experimental
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 31 hospitals; the 90th percentile is 3.7× 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 | Adventist Health Mendocino Coast Bragg, CA | $533 | $519 | $106 | 20% | — | $275 – $655 |
| 2 | Nationwide Children's Hospital Columbus, OH | $406 | $395 | $18 | 5% | — | $352 – $406 |
| 3 | Ukiah Adventist Hospital Ukiah, CA | $575 | $520 | $114 | 22% | — | $277 – $655 |
| 4 | Hmh Hospitals Corporation Hackensack, NJ | $1.7k | $1.5k | $442 | 29% | — | $360 – $2.0k |
| 5 | Hmh Hospitals Corporation Red Bank, NJ | $1.6k | $1.4k | $462 | 32% | — | $282 – $2.0k |
| 6 | Henry Ford Health System West Bloomfield, MI | $400 | $444 | $83 | 19% | — | $320 – $560 |
| 7 | Hmh Hospitals Corporation Edison, NJ | $1.6k | $1.5k | $376 | 26% | — | $430 – $1.8k |
| 8 | Lodi Memorial Hospital Association Inc Lodi, CA | $468 | $454 | $173 | 38% | — | $189 – $692 |
| 9 | MVHS, Inc. Utica, NY | $420 | $406 | $50 | 12% | — | $247 – $463 |
| 10 | Hmh Hospitals Corporation Manahawkin, NJ | $1.7k | $1.5k | $467 | 31% | — | $360 – $2.0k |
Ask Claude or any MCP client for HCPCS D4241 pricing at a specific hospital — see how to connect.