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
Unspecified periodontal proc
Low
$2
Average
$423
Median
$303
High
$22.3k
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Prices here combine facility and professional fees. See them separately →Experimental
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 555 hospitals; the 90th percentile is 2.1× 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 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $235 | $282 | $73 | 26% | — | $228 – $444 |
| 2 | Mayo Regional Hospital Dover Foxcroft, ME | $1.2k | $1.2k | $94 | 8% | — | $1.1k – $1.3k |
| 3 | Kettering Medical Center Miamisburg, OH | $364 | $444 | $178 | 40% | — | $235 – $821 |
| 4 | Kadlec Regional Medical Center Richland, WA | $317 | $422 | $169 | 40% | — | $264 – $741 |
| 5 | Hca Healthone Northeast Er THORNTON, CO | $392 | $386 | $7 | 2% | — | $376 – $392 |
| 6 | Houston Methodist Baytown Hospital Baytown, TX | $252 | $306 | $92 | 30% | — | $238 – $476 |
| 7 | IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital St. George, UT | $240 | $245 | $11 | 5% | — | $222 – $264 |
| 8 | Orlando Health, Inc. Saint Cloud, FL | $265 | $379 | $179 | 47% | — | $243 – $791 |
| 9 | Yuma Regional Medical Center Yuma, AZ | $173 | $195 | $32 | 16% | — | $173 – $253 |
| 10 | Wellstar Kennestone Hospital Marietta, GA | $423 | $439 | $220 | 50% | — | $241 – $903 |
Ask Claude or any MCP client for HCPCS D4999 pricing at a specific hospital — see how to connect.