D4212 (HCPCS) by state — Price Transparency

HCPCS · across United States

D4212 — Gingivectomy/plasty Rest

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$3,429 National median

$2,819 – $4,674 IQR (p25 – p75)

887 hospitals filing

49 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $1,114.

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for D4212 (HCPCS), with interquartile range
State	Median	p25	p75
WA	$5,669	$3,879	$8,519
NV	$5,376	$4,122	$5,376
KS	$5,081	$3,089	$5,081
IA	$5,070	$3,045	$7,865
DE	$5,016	$3,681	$8,240
SC	$4,995	$3,238	$30,000
NC	$4,833	$4,823	$4,833
CA	$4,691	$4,264	$6,374
RI	$4,662	$3,728	$6,880
TX	$4,568	$3,342	$4,872
OR	$4,054	$3,869	$7,370
MA	$4,023	$3,604	$5,145
HI	$3,917	$3,255	$4,117
NJ	$3,672	$3,378	$5,366
AZ	$3,573	$2,769	$4,674
IL	$3,553	$2,188	$3,820
NM	$3,477	$3,298	$4,007
GA	$3,469	$3,313	$5,348
ME	$3,450	$3,202	$14,931
PA	$3,432	$3,120	$4,833
CT	$3,420	$305	$3,975
FL	$3,418	$730	$3,705
IN	$3,397	$2,927	$5,436
UT	$3,357	$3,109	$3,595
OK	$3,304	$1,743	$4,305
MT	$3,285	$102	$3,473
OH	$3,277	$2,997	$5,042
MN	$3,253	$3,104	$3,484
ND	$3,243	$3,243	$5,310
ID	$3,243	$3,243	$3,794
WV	$3,243	$2,976	$3,535
CO	$3,227	$160	$3,497
LA	$3,215	$3,085	$3,671
VA	$3,191	$1,544	$4,162
MI	$3,178	$2,923	$3,363
WY	$3,166	$2,867	$4,115
MD	$3,144	$217	$3,144
WI	$3,125	$1,827	$3,387
AL	$3,108	$2,936	$3,606
AR	$3,103	$3,103	$3,163
KY	$3,061	$2,904	$3,947
TN	$2,958	$2,766	$3,109
MS	$2,395	$75	$3,513
NY	$645	$287	$4,025
NE	$428	$270	$3,161
AK	$401	$354	$449
VT	$396	$377	$3,832
MO	$254	$135	$3,354
NH	$214	$49	$3,886

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

WA	$5,669	$3,879	$8,519	$69	$33,603	27	38	505
NV	$5,376	$4,122	$5,376	$173	$8,516	4	87	162
KS	$5,081	$3,089	$5,081	$139	$22,789	7	21	66
IA	$5,070	$3,045	$7,865	$53	$8,838	13	10	78
DE	$5,016	$3,681	$8,240	$3,404	$17,295	2 ⚠ thin data	7	27
SC	$4,995	$3,238	$30,000	$56	$50,000	27	28	403
NC	$4,833	$4,823	$4,833	$2,847	$8,001	19	42	751
CA	$4,691	$4,264	$6,374	$25	$23,020	81	73	562
RI	$4,662	$3,728	$6,880	$49	$20,935	5	4	35
TX	$4,568	$3,342	$4,872	$1	$13,322	50	67	1,611
OR	$4,054	$3,869	$7,370	$3,360	$28,602	13	15	185
MA	$4,023	$3,604	$5,145	$49	$11,662	9	8	34
HI	$3,917	$3,255	$4,117	$2,432	$4,865	4	9	43
NJ	$3,672	$3,378	$5,366	$8	$17,367	29	47	1,138
AZ	$3,573	$2,769	$4,674	$48	$6,913	13	20	208
IL	$3,553	$2,188	$3,820	$51	$12,435	34	34	193
NM	$3,477	$3,298	$4,007	$454	$14,562	6	38	110
GA	$3,469	$3,313	$5,348	$74	$13,131	27	24	267
ME	$3,450	$3,202	$14,931	$3,139	$17,567	9	7	68
PA	$3,432	$3,120	$4,833	$40	$20,638	25	48	801
CT	$3,420	$305	$3,975	$129	$6,442	9	16	60
FL	$3,418	$730	$3,705	$25	$20,194	56	109	997
IN	$3,397	$2,927	$5,436	$53	$10,547	10	51	125
UT	$3,357	$3,109	$3,595	$1,580	$8,497	17	15	286
OK	$3,304	$1,743	$4,305	$39	$8,879	23	40	218
MT	$3,285	$102	$3,473	$91	$8,918	8	37	111
OH	$3,277	$2,997	$5,042	$147	$14,555	48	50	566
MN	$3,253	$3,104	$3,484	$33	$22,888	33	36	502
ND	$3,243	$3,243	$5,310	$26	$7,356	4	24	45
ID	$3,243	$3,243	$3,794	$102	$12,990	6	18	33
WV	$3,243	$2,976	$3,535	$2,969	$22,660	4	12	30
CO	$3,227	$160	$3,497	$25	$8,474	23	51	245
LA	$3,215	$3,085	$3,671	$55	$9,111	11	49	320
VA	$3,191	$1,544	$4,162	$1,255	$15,923	21	13	251
MI	$3,178	$2,923	$3,363	$90	$7,308	19	31	205
WY	$3,166	$2,867	$4,115	$46	$6,299	1 ⚠ thin data	9	9
MD	$3,144	$217	$3,144	$132	$3,203	1 ⚠ thin data	11	11
WI	$3,125	$1,827	$3,387	$53	$24,261	24	38	193
AL	$3,108	$2,936	$3,606	$1,672	$11,079	20	30	180
AR	$3,103	$3,103	$3,163	$2,757	$4,781	3	13	33
KY	$3,061	$2,904	$3,947	$2,630	$8,119	17	38	416
TN	$2,958	$2,766	$3,109	$22	$8,001	21	57	1,234
MS	$2,395	$75	$3,513	$36	$7,362	8	23	64
NY	$645	$287	$4,025	$4	$35,000	68	183	3,300
NE	$428	$270	$3,161	$50	$7,048	5	41	105
AK	$401	$354	$449	$306	$496	1 ⚠ thin data	1	2
VT	$396	$377	$3,832	$81	$3,832	2 ⚠ thin data	13	19
MO	$254	$135	$3,354	$62	$7,627	14	26	225
NH	$214	$49	$3,886	$34	$24,925	5	20	82