Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft Facility (CPT 21193)
21193 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
142 of 4255 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Posted cash | Posted gross | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Washington County Hospital and Nursing Home likely a partial charge, not the full procedure |
Chatom, AL | $54.17 | — | $5,344.78 | 0.0× |
| Unity Health - White County Medical Center likely a partial charge, not the full procedure |
Searcy, AR | $628.50 | $2,514 | $5,390.14 | 0.1× |
| Unity Health - Jacksonville likely a partial charge, not the full procedure |
Jacksonville, AR | $628.50 | $2,514 | $5,562.15 | 0.1× |
| Unity Health - Newport likely a partial charge, not the full procedure |
Newport, AR | $628.50 | $2,514 | $5,390.14 | 0.1× |
| O'connor Hospital likely a partial charge, not the full procedure |
Delhi, NY | $650.70 | $2,410 | $7,389.63 | 0.1× |
| Little Falls Hospital likely a partial charge, not the full procedure |
Little Falls, NY | $650.70 | $2,410 | $7,389.63 | 0.1× |
| Cobleskill Regional Hospital likely a partial charge, not the full procedure |
Cobleskill, NY | $650.70 | $2,410 | $7,389.63 | 0.1× |
| Cedar-sinai Marina Del Rey Hospital range across 10 matching MRF lines |
Marina Del Rey, CA | $655.63–$18,447.52 | $1,008.66–$28,380.80 | $7,613.89 | varies |
| Nacogdoches Memorial Hospital likely a partial charge, not the full procedure |
Nacogdoches, TX | $690 | $2,301 | $5,946.81 | 0.1× |
| Westfield Memorial Hospital, Inc likely a partial charge, not the full procedure |
Westfield, NY | $757.24 | $3,442 | $7,389.63 | 0.1× |
| Nebraska Medical Center range across 2 matching MRF lines |
Omaha, NE | $896.81–$2,661.75 | $1,379.70–$4,095 | $6,147.12 | varies |
| Bellevue Medical Center range across 2 matching MRF lines |
Bellevue, NE | $896.81–$2,661.75 | $1,379.70–$4,095 | $6,147.12 | varies |
| East Carroll Parish Hospital likely a partial charge, not the full procedure |
Lake Providence, LA | $904.50 | $1,206 | $5,389.78 | 0.2× |
| Cedars-sinai Medical Center range across 9 matching MRF lines |
Los Angeles, CA | $936.62–$24,184.55 | $1,440.95–$37,207 | $7,613.89 | varies |
| Huntington Hospital range across 9 matching MRF lines |
Pasadena, CA | $1,147.80–$15,116.08 | $1,765.84–$23,255.50 | $7,613.89 | varies |
| Concord Hospital likely a partial charge, not the full procedure |
Concord, NH | $1,191.30 | $3,971 | $6,320.94 | 0.2× |
| Concord Hospital – Laconia likely a partial charge, not the full procedure |
Laconia, NH | $1,191.30 | $3,971 | $6,320.94 | 0.2× |
| Concord Hospital – Franklin likely a partial charge, not the full procedure |
Franklin, NH | $1,191.30 | $3,971 | $6,320.94 | 0.2× |
| Bayside Community Hospital likely a partial charge, not the full procedure |
Anahuac, TX | $1,363 | $1,363 | $5,946.81 | 0.2× |
| Vanderbilt Bedford Hospital likely a partial charge, not the full procedure |
Shelbyville, TN | $1,510.32 | $5,208 | $5,652.87 | 0.3× |
| Vanderbilt Tullahoma-Harton Hospital likely a partial charge, not the full procedure |
Tullahoma, TN | $1,510.32 | $5,208 | $5,619.85 | 0.3× |
| Vanderbilt Wilson County Hospital likely a partial charge, not the full procedure |
Lebanon, TN | $1,510.32 | $5,208 | $5,679.36 | 0.3× |
| Torrance Memorial Medical Center range across 7 matching MRF lines |
Torrance, CA | $1,589.98–$31,644.62 | $1,939–$38,591 | $7,613.89 | varies |
| Baylor Scott and White Surgical Hospital Las Colin likely a partial charge, not the full procedure |
Irving, TX | $1,675.80 | $2,793 | $5,946.81 | 0.3× |
| Mercy Medical Center - Cedar Rapids unusually low: confirm this is the full procedure |
Cedar Rapids, IA | $1,777.80 | $2,963 | $5,724 | 0.3× |
| MetroHealth System unusually low: confirm this is the full procedure |
Cleveland, OH | $1,946.45 | $5,561.29 | $5,600.62 | 0.3× |
| Mcalester Regional Health Center unusually low: confirm this is the full procedure |
Mcalester, OK | $2,010.80 | $5,027 | $5,693.51 | 0.4× |
| Spanish Peaks Regional Health Center unusually low: confirm this is the full procedure |
Walsenburg, CO | $2,019.60 | $2,244 | $6,244.73 | 0.3× |
| Washington Regional Medical Center unusually low: confirm this is the full procedure |
Fayetteville, AR | $2,090.25 | $2,787 | $5,581.02 | 0.4× |
| John H Stroger Jr Hospital unusually low: confirm this is the full procedure |
Chicago, IL | $2,154.60 | $3,078 | $6,343.80 | 0.3× |
| Provident Hospital of Chicago unusually low: confirm this is the full procedure |
Chicago, IL | $2,154.60 | $3,078 | $6,343.80 | 0.3× |
| DeSoto Regional Health System unusually low: confirm this is the full procedure |
Mansfield, LA | $2,236.50 | $3,195 | $5,360.39 | 0.4× |
| Sidney Health Center unusually low: confirm this is the full procedure |
Sidney, MT | $2,251.42 | $3,636 | $6,048.05 | 0.4× |
| Oklahoma Center for Orthopaedic & Multi-Specialty Surgery unusually low: confirm this is the full procedure |
Oklahoma City, OK | $2,253.42 | $8,346 | $5,693.51 | 0.4× |
| Hurley Medical Center unusually low: confirm this is the full procedure |
Flint, MI | $2,425 | $2,425 | $5,898.54 | 0.4× |
| Titus Regional Medical Center unusually low: confirm this is the full procedure |
Mount Pleasant, TX | $2,460 | $4,100 | $5,946.81 | 0.4× |
| North Central Kansas Medical Center unusually low: confirm this is the full procedure |
Concordia, KS | $2,530.15 | $3,614.50 | $5,444.21 | 0.5× |
| Baylor Scott and White Surgical Hospital Fortworth unusually low: confirm this is the full procedure |
Fort Worth, TX | $2,531.40 | $4,219 | $5,956.60 | 0.4× |
| Waverly Health Center unusually low: confirm this is the full procedure |
Waverly, IA | $2,568.80 | $4,940 | $5,690.97 | 0.5× |
| Vanderbilt University Hospital unusually low: confirm this is the full procedure |
Nashville, TN | $2,812.32 | $5,208 | $5,811.09 | 0.5× |
| Mt Sinai Hospital Medical Center unusually low: confirm this is the full procedure |
Chicago, IL | $2,889.34 | $4,127.63 | $6,343.80 | 0.5× |
| Holy Cross Hospital unusually low: confirm this is the full procedure |
Chicago, IL | $2,889.34 | $4,127.63 | $6,343.80 | 0.5× |
| St. John's Medical Center | Jackson, WY | $3,237 | $3,237 | $6,048.05 | 0.5× |
| Charleston Area Medical Center | Charleston, WV | $3,339 | $3,339 | $5,678.64 | 0.6× |
| Baylor Medical Center at Trophy Club | Trophy Club, TX | $3,411 | $5,685 | $5,946.81 | 0.6× |
| CAMC Greenbrier Valley Medical Center | Ronceverte, WV | $3,430 | $3,430 | $5,678.64 | 0.6× |
| Memorial Hospital | Abilene, KS | $3,614.50 | $3,614.50 | $5,444.21 | 0.7× |
| Texas Scottish Rite Hospital For Children | Dallas, TX | $4,412 | $4,412 | $5,946.81 | 0.7× |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $4,565.01 | $8,951 | $5,768.99 | 0.8× |
| ThedaCare Regional Medical Center - Neenah Inc range across 2 matching MRF lines |
Neenah, WI | $4,756.86–$4,899.55 | $8,494.40–$8,749.20 | $5,750.12 | varies |
| ThedaCare Regional Medical Center - Appleton Inc range across 2 matching MRF lines |
Appleton, WI | $4,756.86–$4,899.55 | $8,494.40–$8,749.20 | $5,799.48 | varies |
| ThedaCare Medical Center - Wild Rose Inc range across 2 matching MRF lines |
Wild Rose, WI | $4,756.86–$4,899.55 | $8,494.40–$8,749.20 | $5,750.12 | varies |
| ThedaCare Medical Center New London range across 2 matching MRF lines |
New London, WI | $4,756.86–$4,899.55 | $8,494.40–$8,749.20 | $5,780.61 | varies |
| ThedaCare Medical Center - Waupaca Inc range across 2 matching MRF lines |
Waupaca, WI | $4,756.86–$4,899.55 | $8,494.40–$8,749.20 | $5,750.12 | varies |
| ThedaCare Medical Center - Shawano Inc range across 2 matching MRF lines |
Shawano, WI | $4,756.86–$4,899.55 | $8,494.40–$8,749.20 | $5,750.12 | varies |
| ThedaCare Medical Center - Berlin Inc range across 2 matching MRF lines |
Berlin, WI | $4,756.86–$4,899.55 | $8,494.40–$8,749.20 | $5,750.12 | varies |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $5,289.89 | $8,816.49 | $5,946.81 | 0.9× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $5,289.89 | $8,816.49 | $5,946.81 | 0.9× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $5,289.89 | $8,816.49 | $5,946.81 | 0.9× |
| Scott & White Hospital-round Rock | Round Rock, TX | $5,289.89 | $8,816.49 | $5,946.81 | 0.9× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $5,289.89 | $8,816.49 | $5,946.81 | 0.9× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $5,289.89 | $8,816.49 | $5,946.81 | 0.9× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $5,289.89 | $8,816.49 | $5,946.81 | 0.9× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $5,289.89 | $8,816.49 | $5,946.81 | 0.9× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $5,289.89 | $8,816.49 | $5,946.81 | 0.9× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $5,289.89 | $8,816.49 | $5,946.81 | 0.9× |
| Altru Hospital | Grand Forks, ND | $5,343.60 | $8,760 | $6,048.05 | 0.9× |
| Northwest Hills Surgical Hospital | Austin, TX | $5,895 | $16,375 | $5,946.81 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $5,938.02 | — | $6,181.95 | 1.0× |
| St. Joseph's Medical Center | Yonkers, NY | $6,048.05 | — | $7,389.63 | 0.8× |
| Mountain View Hospital | Idaho Falls, ID | $6,100 | $6,100 | $5,848.46 | 1.0× |
| Idaho Falls Community Hospital | Idaho Falls, ID | $6,100 | $6,100 | $5,848.46 | 1.0× |
| Erie County Medical Center | Buffalo, NY | $6,167 | — | $7,389.63 | 0.8× |
| Lima Memorial Health System | Lima, OH | $6,382.80 | $7,092 | $5,652.51 | 1.1× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $6,495.68 | — | $5,375.99 | 1.2× |
| Summit Medical Center, LLC | Edmond, OK | $6,778.80 | — | $5,693.51 | 1.2× |
| Parkland Memorial Hospital | Dallas, TX | $6,851.90 | $17,129.74 | $5,946.81 | 1.2× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Jacobi Medical Center | Bronx, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Elmhurst Hospital Center | Elmhurst, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Metropolitan Hospital Center | New York, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Kings County Hospital Center | Brooklyn, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Bellevue Hospital Center | New York, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Queens Hospital Center | Jamaica, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Harlem Hospital Center | New York, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Highland Hospital | Rochester, NY | $7,026.75 | — | $7,389.63 | 1.0× |
| Strong Memorial Hospital | Rochester, NY | $7,026.75 | — | $7,389.63 | 1.0× |
| Griffin Hospital | Derby, CT | $7,072.05 | — | $7,096.78 | 1.0× |
| Valleywise Health Medical Center | Phoenix, AZ | $7,264.49 | — | $6,316.95 | 1.1× |
| Hilton Head Medical Center | Hilton Head Island, SC | $7,288.80 | — | $5,505.90 | 1.3× |
| East Cooper Medical Center | Mount Pleasant, SC | $7,288.80 | — | $5,505.90 | 1.3× |
| Coastal Carolina Medical Center | Hardeeville, SC | $7,288.80 | — | $5,505.90 | 1.3× |
| Nyack Hospital | Nyack, NY | $7,389.63 | — | $7,389.63 | 1.0× |
| Montefiore St. Luke's Cornwall | Newburgh, NY | $7,389.63 | — | $7,389.63 | 1.0× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $7,401.56 | — | $5,679.36 | 1.3× |
| Treasure Valley Hospital | Boise, ID | $8,017.53 | — | $5,981.28 | 1.3× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $8,139.99 | — | $5,898.54 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $8,139.99 | — | $5,898.54 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $8,139.99 | — | $5,898.54 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $8,139.99 | — | $5,898.54 | 1.4× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $8,963.81 | $11,476 | $6,048.05 | 1.5× |
| Omega Hospital range across 2 matching MRF lines |
Metairie, LA | $9,505.34–$22,351.37 | $16,294.86–$38,316.63 | $5,556.71 | varies |
| McKenzie County Healthcare Systems Inc | Watford City, ND | $9,579.05 | $14,737 | $6,048.05 | 1.6× |
| Montefiore Medical Center | Bronx, NY | $11,003.55 | $16,825 | $7,389.63 | 1.5× |
| Mercyhealth Fhn Hospital | Freeport, IL | $11,028 | $13,785 | $6,343.80 | 1.7× |
| Alaska Native Medical Center | Anchorage, AK | $11,649 | $11,649 | $6,569.88 | 1.8× |
| Duncan Regional Hospital, Inc | Duncan, OK | $12,060.84 | — | $5,693.51 | 2.1× |
| St. Luke's Boise Medical Center | Boise, ID | $12,747 | $12,747 | $6,392.06 | 2.0× |
| St. Luke's Elmore Medical Center | Mountain Home, ID | $12,747 | $12,747 | $5,848.46 | 2.2× |
| Doctors Hosptal at Renaissance range across 2 matching MRF lines |
Edinburg, TX | $13,545.89–$15,073.60 | $13,545.89–$15,073.60 | $5,946.81 | varies |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $14,319.20 | $25,570 | $8,595.49 | 1.7× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $14,319.20 | $25,570 | $8,557.02 | 1.7× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $14,319.20 | $25,570 | $8,405.34 | 1.7× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $14,319.20 | $25,570 | $8,697.10 | 1.6× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $14,319.20 | $25,570 | $8,659.72 | 1.7× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $14,319.20 | $25,570 | $8,557.02 | 1.7× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $14,319.20 | $25,570 | $8,405.34 | 1.7× |
| Kaiser Foundation Hospital | San Rafael, CA | $14,319.20 | $25,570 | $8,396.63 | 1.7× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $14,319.20 | $25,570 | $8,557.02 | 1.7× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $14,319.20 | $25,570 | $8,595.49 | 1.7× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $14,319.20 | $25,570 | $8,707.26 | 1.6× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $14,319.20 | $25,570 | $8,405.34 | 1.7× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $14,319.20 | $25,570 | $8,140.43 | 1.8× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $14,319.20 | $25,570 | $7,613.89 | 1.9× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $14,319.20 | $25,570 | $8,295.38 | 1.7× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $14,319.20 | $25,570 | $8,359.25 | 1.7× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $14,319.20 | $25,570 | $8,697.10 | 1.6× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $14,319.20 | $25,570 | $7,682.84 | 1.9× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $14,319.20 | $25,570 | $8,558.11 | 1.7× |
| White Rock Medical Center | Dallas, TX | $15,176.81 | $22,318.84 | $5,946.81 | 2.6× |
| St. Luke's Magic Valley Medical Center | Twin Falls, ID | $15,519 | $15,519 | $6,171.07 | 2.5× |
| St. Luke's Nampa Medical Center | Nampa, ID | $15,519 | $15,519 | $5,981.28 | 2.6× |
| St. Luke's Jerome Medical Center | Jerome, ID | $15,519 | $15,519 | $5,874.23 | 2.6× |
| St. Luke's McCall Medical Center | McCall, ID | $15,519 | $15,519 | $5,848.46 | 2.7× |
| St. Luke's Wood River Medical Center | Ketchum, ID | $15,519 | $15,519 | $5,848.46 | 2.7× |
| Northwest Surgical Hospital | Oklahoma City, OK | $17,080.53 | — | $5,693.51 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $17,080.53 | — | $5,693.51 | 3.0× |
| Highpoint Health – Sumner with Ascension Saint Thomas | Gallatin, TN | $19,461.23 | $83,524.58 | $5,679.36 | 3.4× |
| Bon Secours St. Mary's Hospital | Richmond, VA | $54,751.24 | $91,252.07 | $5,939.19 | 9.2× |
| Graham Hospital Association | Canton, IL | — | $8,550 | $6,343.80 | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.