Deep cleaning, per quadrant cost without insurance
The median hospital cash price for deep cleaning (scaling and root planing), 4 or more teeth in one quadrant is $800.80 across 104 US hospitals; most list between $200.43 and $2,208.68. The lowest outpatient cash price in any of 37 markets is $166.59. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Nov 11, 2026 Each price links to its source file All Dental work costs
Cash or insurance?
If you have insurance but have not met your deductible, you pay the rate your plan negotiated with the hospital, not the cash price. Hospital price files list those rates too: for deep cleaning, per quadrant, the highest negotiated rate in a hospital's file has a median of $2,951.23 and the lowest a median of $190.58. At 65 of 80 hospitals that publish both, the cash price is below the highest negotiated rate.
With a high deductible, cash can cost less. But a cash payment may not count toward your deductible or out-of-pocket maximum: ask your plan for its rate at that hospital (most have a cost estimator) and whether it will credit a cash payment.
Plan's rate starts at the median highest negotiated rate and cash at the national median; put in your own numbers. Nothing you type leaves your device. To price a whole year with premiums, use the insurance or cash calculator.
What is CDT D4341?
Scaling and root planing, often called a deep cleaning, removes tartar and bacteria from below the gumline and smooths the root surfaces. It is used to treat gum disease, and this code applies when four or more teeth in one quarter of the mouth need it.
What the price covers
The fee is per quadrant and usually includes local anesthesia. The exam, X-rays, gum measurements and any antibiotic placed in the gums are billed separately.
Why prices differ
Hospital prices come mostly from hospital dental clinics and dental schools, which price differently from private offices; the number of quadrants treated sets the total.
What to ask
Ask whether the self-pay price for CDT D4341 is per quadrant and how many quadrants you need.
Prices by state
Among 5 states with at least 5 hospitals listing a cash price, the median is lowest in Illinois ($360.00) and Georgia ($435.00), and highest in New Jersey ($1,840.30) and New York ($1,558.64).
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Arizona$793.33, 1 hospital
- California$800.80
- Colorado$198.90, 1 hospital
- Florida$2,407.53, 2 hospitals
- Georgia$435.00
- Illinois$360.00
- Louisiana$166.59, 1 hospital
- Michigan$888.94, 2 hospitals
- Minnesota$428.00, 1 hospital
- Mississippi$1,035.10, 4 hospitals
- Nevada$1,929.30, 1 hospital
- New Jersey$1,840.30
- New Mexico$1,295.66, 2 hospitals
- New York$1,558.64
- Ohio$458.85, 1 hospital
- Oklahoma$3,389.76, 1 hospital
- Oregon$644.57, 1 hospital
- Tennessee$189.37, 3 hospitals
- Utah$1,107.39, 1 hospital
- Washington$40,624.85, 1 hospital
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Aberdeen, MS single city | 1 | $745.20 | $745.20 | $745.20 | 1.0× |
| Albuquerque, NM | 1 | $1,772.25 | $1,772.25 | $1,772.25 | 1.0× |
| Atlanta-Sandy Springs-Roswell, GA | 7 | $435.00 | $435.00 | $435.00 | 1.0× |
| Atlantic City-Hammonton, NJ | 1 | $836.45 | $836.45 | $836.45 | 1.0× |
| Buffalo-Cheektowaga, NY | 2 | $439.35 | $447.68 | $456.00 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 5 | $234.00 | $360.00 | $360.00 | 1.5× |
| Cleveland, OH | 1 | $458.85 | $458.85 | $458.85 | 1.0× |
| Denver-Aurora-Centennial, CO | 1 | $198.90 | $198.90 | $198.90 | 1.0× |
| Detroit-Warren-Dearborn, MI | 2 | $888.94 | $888.94 | $888.94 | 1.0× |
| Duncan, OK | 1 | $3,389.76 | $3,389.76 | $3,389.76 | 1.0× |
| Eugene-Springfield, OR | 1 | $644.57 | $644.57 | $644.57 | 1.0× |
| Fresno, CA | 1 | $800.80 | $800.80 | $800.80 | 1.0× |
| Grants, NM single city | 1 | $819.06 | $819.06 | $819.06 | 1.0× |
| Hattiesburg, MS | 1 | $5,618.13 | $5,618.13 | $5,618.13 | 1.0× |
| Jackson, MS | 2 | $688.00 | $1,006.50 | $1,325.00 | 1.9× |
| Kiryas Joel-Poughkeepsie-Newburgh, NY | 2 | $204.00 | $505.50 | $807.00 | 4.0× |
| Las Vegas-Henderson-North Las Vegas, NV | 1 | $1,929.30 | $1,929.30 | $1,929.30 | 1.0× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 2 | $2,312.05 | $2,407.53 | $2,503.00 | 1.1× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 1 | $428.00 | $428.00 | $428.00 | 1.0× |
| Modesto, CA | 1 | $800.80 | $800.80 | $800.80 | 1.0× |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 1 | $189.37 | $189.37 | $189.37 | 1.0× |
| New Orleans-Metairie, LA | 1 | $166.59 | $166.59 | $166.59 | 1.0× |
| New York-Newark-Jersey City, NY-NJ | 37 | $176.62 | $1,958.01 | $36,066.46 | 204.2× |
| Oneonta, NY | 1 | $297.14 | $297.14 | $297.14 | 1.0× |
| Phoenix-Mesa-Chandler, AZ | 1 | $793.33 | $793.33 | $793.33 | 1.0× |
| Quincy, CA single city | 1 | $240.80 | $240.80 | $240.80 | 1.0× |
| Rochester, NY | 3 | $186.40 | $193.80 | $767.37 | 4.1× |
| Sacramento-Roseville-Folsom, CA | 3 | $800.80 | $800.80 | $800.80 | 1.0× |
| Salt Lake City-Murray, UT | 1 | $1,107.39 | $1,107.39 | $1,107.39 | 1.0× |
| San Francisco-Oakland-Fremont, CA | 10 | $800.80 | $800.80 | $800.80 | 1.0× |
| San Jose-Sunnyvale-Santa Clara, CA | 2 | $800.80 | $800.80 | $800.80 | 1.0× |
| Santa Rosa-Petaluma, CA | 1 | $800.80 | $800.80 | $800.80 | 1.0× |
| Seattle-Tacoma-Bellevue, WA | 1 | $40,624.85 | $40,624.85 | $40,624.85 | 1.0× |
| Shelbyville, TN | 1 | $189.37 | $189.37 | $189.37 | 1.0× |
| Stockton-Lodi, CA | 1 | $800.80 | $800.80 | $800.80 | 1.0× |
| Tullahoma-Manchester, TN | 1 | $189.37 | $189.37 | $189.37 | 1.0× |
| Vallejo, CA | 2 | $800.80 | $800.80 | $800.80 | 1.0× |
Common questions
What is CDT code D4341?
CDT D4341 is the billing code for deep cleaning (scaling and root planing), 4 or more teeth in one quadrant. Scaling and root planing, often called a deep cleaning, removes tartar and bacteria from below the gumline and smooths the root surfaces. It is used to treat gum disease, and this code applies when four or more teeth in one quarter of the mouth need it.
Is a full-mouth deep cleaning one charge?
No. The mouth is split into four quadrants, and each one treated is billed separately, often over two visits.
How is this different from D4342?
D4342 is the same treatment when only one to three teeth in a quadrant need it.
Is it cheaper to pay cash or use insurance for deep cleaning, per quadrant?
It depends on your deductible. Until you meet it, you pay your plan's negotiated rate, not the cash price. In hospital price files the highest negotiated rate for deep cleaning, per quadrant has a median of $2,951.23 and the lowest a median of $190.58; at 65 of 80 hospitals the cash price is below the highest negotiated rate. A cash payment may not count toward your deductible, so ask your plan for its rate at that hospital first.
Which states have the cheapest deep cleaning, per quadrant?
Among 5 states with at least 5 hospitals listing a cash price, the median is lowest in Illinois ($360.00) and Georgia ($435.00), and highest in New Jersey ($1,840.30) and New York ($1,558.64). Prices vary as much between hospitals in the same state, so compare hospitals near you.
Other dental work prices
Median hospital cash price, one per hospital.