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
Atlanta, TX
See all hospitals reporting HCPCS D4210 →Price type
St. Michael Hospital - Atlanta’s median price of $3.2k is 9% below the median hospital's median price ($3.5k), higher than 29% 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: 5 payers, 6 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 | Humana choicecare other · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 2 | Aetna mm fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 3 | Bcbs Tx mm fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 4 | Humana choicecare network mm fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 5 | Molina medicare adv mm fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 6 | UnitedHealthcare mm fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
Last updated: Jan 13, 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.