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
Willits, CA
See all hospitals reporting HCPCS D4210 →Price type
Willits Hospital Inc’s median price of $535 is 85% below the median hospital's median price ($3.5k), higher than 6% of the 695 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, 10 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 | $403 | $403 | — | — | — | $403 – $403 |
| 2 | Blue Cross Blue Shield tricare blue shield - all plans fee schedule · outpatient | $403 | $403 | — | — | — | $403 – $403 |
| 3 | Blue Cross Blue Shield blue cross mcs - all other plans case rate · outpatient | $509 | $509 | — | — | — | $509 – $509 |
| 4 | Blue Cross Blue Shield blue cross non mcs case rate · outpatient | $509 | $509 | — | — | — | $509 – $509 |
| 5 | Aetna aetna - all plans percent of total billed charges · outpatientfrom % of charges | $524 | $524 | — | — | — | $524 – $524 |
| 6 | Blue Cross Blue Shield blue shield epn percent of total billed charges · outpatientfrom % of charges | $534 | $534 | — | — | — | $534 – $534 |
| 7 | Blue Cross Blue Shield blue shield - all other plans percent of total billed charges · outpatientfrom % of charges | $535 | $535 | — | — | — | $535 – $535 |
| 8 | First Health first health ppo - all plans percent of total billed charges · outpatientfrom % of charges | $625 | $625 | — | — | — | $625 – $625 |
| 9 | Cigna cigna - all plans percent of total billed charges · outpatientfrom % of charges | $664 | $664 | — | — | — | $664 – $664 |
| 10 | Medicaid medi-cal fee schedule · outpatient | $781 | $781 | — | — | — | $781 – $781 |
Last updated: May 20, 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.