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
Gingivectomy/plasty 4 or mor
Elmhurst, IL
See all hospitals reporting HCPCS D4210 →Price type
Elmhurst Memorial Hospital’s median price of $4.6k is 33% above the median hospital's median price ($3.5k), higher than 78% of the 698 hospitals reporting HCPCS D4210. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 2 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare managed care plan fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 2 | Blue Cross Blue Shield choice other commercial plan fee schedule · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
Last updated: Apr 1, 2026
See Gingivectomy or gingivoplasty, four or more teeth pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.