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
PERIODONTAL MAINT PROCEDURES
Low
$64
Average
$182
Median
$114
High
$2.1k
Filter by billing methodology
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. 33 hospitals; the 90th percentile is 2.6× 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 | $160 | $156 | $32 | 20% | — | $83 – $197 |
| 2 | Nationwide Children's Hospital Columbus, OH | $101 | $99 | $4 | 5% | — | $88 – $101 |
| 3 | Ukiah Adventist Hospital Ukiah, CA | $173 | $156 | $34 | 22% | — | $83 – $197 |
| 4 | Duke University Hospital Durham, NC | $68 | $64 | $16 | 26% | — | $44 – $82 |
| 5 | Henry Ford Health System West Bloomfield, MI | $94 | $104 | $19 | 19% | — | $75 – $131 |
| 6 | Bellevue Medical Center Llc Bellevue, NE | $81 | $79 | $3 | 4% | — | $72 – $81 |
| 7 | Baptist Hospital Of Miami MIAMI, FL | $2.1k | $2.1k | $743 | 35% | — | $615 – $3.6k |
| 8 | Duke University Hospital Raleigh, NC | $68 | $64 | $16 | 26% | — | $44 – $82 |
| 9 | Lodi Memorial Hospital Association Inc Lodi, CA | $141 | $137 | $52 | 38% | — | $57 – $208 |
| 10 | MVHS, Inc. Utica, NY | $108 | $94 | $25 | 27% | — | $42 – $119 |
Ask Claude or any MCP client for HCPCS D4910 pricing at a specific hospital — see how to connect.