Gum flap surgery with root planing at Reedley Community Hospital

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

GINGIVAL FLAP PROC W/ PLANIN

Reedley, CA

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How this price compares nationally

Reedley Community Hospital’s median price of $619 is 82% below the median hospital's median price ($3.5k), higher than 5% of the 664 hospitals reporting HCPCS D4240. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS D4240 at Reedley Community Hospital

Negotiated rates from the hospital’s own file: 5 payers, 13 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.

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1	Blue Cross Blue Shield blue shield mcare fee schedule · outpatient	$375	$375	—	—	—	$375 – $375
2	Blue Cross Blue Shield tricare blue shield - all plans fee schedule · outpatient	$375	$375	—	—	—	$375 – $375
3	Kaiser kaiser mcr adv fee schedule · outpatient	$375	$375	—	—	—	$375 – $375
4	Blue Cross Blue Shield blue cross exchange case rate · outpatient	$525	$525	—	—	—	$525 – $525
5	Blue Cross Blue Shield blue cross mcs - all other plans case rate · outpatient	$583	$583	—	—	—	$583 – $583
6	Blue Cross Blue Shield blue cross non-mcs case rate · outpatient	$583	$583	—	—	—	$583 – $583
7	Aetna aetna mcr adv fee schedule · outpatient	$619	$619	—	—	—	$619 – $619
8	Kaiser kaiser - all other plans percent of total billed charges · outpatientfrom % of charges	$630	$630	—	—	—	$630 – $630
9	Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges	$683	$683	—	—	—	$683 – $683
10	Aetna aetna - all other plans percent of total billed charges · outpatientfrom % of charges	$687	$687	—	—	—	$687 – $687
11	Blue Cross Blue Shield blue shield non epn percent of total billed charges · outpatientfrom % of charges	$788	$788	—	—	—	$788 – $788
12	Cigna cigna- all plans percent of total billed charges · outpatientfrom % of charges	$819	$819	—	—	—	$819 – $819
13	Medicaid medi-cal fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k

Last updated: Aug 2, 2026

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