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
GINGIVAL FLAP PROC W/ PLANIN
Willits, CA
See all hospitals reporting HCPCS D4240 →Price type
Willits Hospital Inc’s median price of $862 is 75% below the median hospital's median price ($3.5k), higher than 8% of the 664 hospitals reporting HCPCS D4240. 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 | $821 | $821 | — | — | — | $821 – $821 |
| 4 | Blue Cross Blue Shield blue cross non mcs case rate · outpatient | $821 | $821 | — | — | — | $821 – $821 |
| 5 | Aetna aetna - all plans percent of total billed charges · outpatientfrom % of charges | $845 | $845 | — | — | — | $845 – $845 |
| 6 | Blue Cross Blue Shield blue shield epn percent of total billed charges · outpatientfrom % of charges | $862 | $862 | — | — | — | $862 – $862 |
| 7 | Blue Cross Blue Shield blue shield - all other plans percent of total billed charges · outpatientfrom % of charges | $863 | $863 | — | — | — | $863 – $863 |
| 8 | First Health first health ppo - all plans percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 9 | Cigna cigna - all plans percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | Medicaid medi-cal fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
Last updated: May 20, 2026
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