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 1 TO 3
Willits, CA
See all hospitals reporting HCPCS D4211 →Price type
Willits Hospital Inc’s median price of $418 is 88% below the median hospital's median price ($3.5k), higher than 7% of the 676 hospitals reporting HCPCS D4211. 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 cross mcs - all other plans case rate · outpatient | $398 | $398 | — | — | — | $398 – $398 |
| 2 | Blue Cross Blue Shield blue cross non mcs case rate · outpatient | $398 | $398 | — | — | — | $398 – $398 |
| 3 | Blue Cross Blue Shield blue shield mcare fee schedule · outpatient | $403 | $403 | — | — | — | $403 – $403 |
| 4 | Blue Cross Blue Shield tricare blue shield - all plans fee schedule · outpatient | $403 | $403 | — | — | — | $403 – $403 |
| 5 | Aetna aetna - all plans percent of total billed charges · outpatientfrom % of charges | $410 | $410 | — | — | — | $410 – $410 |
| 6 | Blue Cross Blue Shield blue shield epn percent of total billed charges · outpatientfrom % of charges | $418 | $418 | — | — | — | $418 – $418 |
| 7 | Blue Cross Blue Shield blue shield - all other plans percent of total billed charges · outpatientfrom % of charges | $419 | $419 | — | — | — | $419 – $419 |
| 8 | First Health first health ppo - all plans percent of total billed charges · outpatientfrom % of charges | $489 | $489 | — | — | — | $489 – $489 |
| 9 | Cigna cigna - all plans percent of total billed charges · outpatientfrom % of charges | $519 | $519 | — | — | — | $519 – $519 |
| 10 | Medicaid medi-cal fee schedule · outpatient | $611 | $611 | — | — | — | $611 – $611 |
Last updated: May 20, 2026
See Gingivectomy or gum reshaping, 1 to 3 teeth pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.