Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft)… (CPT 21194)
21194 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.
85 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× |
| 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 |
| Unity Health - White County Medical Center likely a partial charge, not the full procedure |
Searcy, AR | $712.50 | $2,850 | $5,390.14 | 0.1× |
| Unity Health - Jacksonville likely a partial charge, not the full procedure |
Jacksonville, AR | $712.50 | $2,850 | $5,562.15 | 0.1× |
| Unity Health - Newport likely a partial charge, not the full procedure |
Newport, AR | $712.50 | $2,850 | $5,390.14 | 0.1× |
| Nacogdoches Memorial Hospital likely a partial charge, not the full procedure |
Nacogdoches, TX | $798 | $2,660 | $5,946.81 | 0.1× |
| Westfield Memorial Hospital, Inc likely a partial charge, not the full procedure |
Westfield, NY | $874.94 | $3,977 | $7,389.63 | 0.1× |
| Nebraska Medical Center range across 2 matching MRF lines |
Omaha, NE | $896.81–$3,139.50 | $1,379.70–$4,830 | $6,147.12 | varies |
| Bellevue Medical Center range across 2 matching MRF lines |
Bellevue, NE | $896.81–$3,139.50 | $1,379.70–$4,830 | $6,147.12 | varies |
| 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 |
| East Carroll Parish Hospital likely a partial charge, not the full procedure |
Lake Providence, LA | $1,134.75 | $1,513 | $5,389.78 | 0.2× |
| 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 | $1,375.50 | $4,585 | $6,320.94 | 0.2× |
| Concord Hospital – Laconia likely a partial charge, not the full procedure |
Laconia, NH | $1,375.50 | $4,585 | $6,320.94 | 0.2× |
| Concord Hospital – Franklin likely a partial charge, not the full procedure |
Franklin, NH | $1,375.50 | $4,585 | $6,320.94 | 0.2× |
| Bayside Community Hospital likely a partial charge, not the full procedure |
Anahuac, TX | $1,446 | $1,446 | $5,946.81 | 0.2× |
| Mcalester Regional Health Center likely a partial charge, not the full procedure |
Mcalester, OK | $1,514.40 | $3,786 | $5,693.51 | 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 |
| Vanderbilt Bedford Hospital likely a partial charge, not the full procedure |
Shelbyville, TN | $1,635.02 | $5,638 | $5,652.87 | 0.3× |
| Vanderbilt Tullahoma-Harton Hospital likely a partial charge, not the full procedure |
Tullahoma, TN | $1,635.02 | $5,638 | $5,619.85 | 0.3× |
| Vanderbilt Wilson County Hospital likely a partial charge, not the full procedure |
Lebanon, TN | $1,635.02 | $5,638 | $5,679.36 | 0.3× |
| Mercy Medical Center - Cedar Rapids unusually low: confirm this is the full procedure |
Cedar Rapids, IA | $2,054.40 | $3,424 | $5,724 | 0.4× |
| Lima Memorial Health System unusually low: confirm this is the full procedure |
Lima, OH | $2,144.70 | $2,383 | $5,652.51 | 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× |
| MetroHealth System unusually low: confirm this is the full procedure |
Cleveland, OH | $2,276.37 | $6,503.92 | $5,600.62 | 0.4× |
| Baylor Scott and White Surgical Hospital Fortworth unusually low: confirm this is the full procedure |
Fort Worth, TX | $2,302.20 | $3,837 | $5,956.60 | 0.4× |
| Spanish Peaks Regional Health Center unusually low: confirm this is the full procedure |
Walsenburg, CO | $2,331.90 | $2,591 | $6,244.73 | 0.4× |
| Washington Regional Medical Center unusually low: confirm this is the full procedure |
Fayetteville, AR | $2,412.75 | $3,217 | $5,581.02 | 0.4× |
| John H Stroger Jr Hospital unusually low: confirm this is the full procedure |
Chicago, IL | $2,485 | $3,550 | $6,343.80 | 0.4× |
| Provident Hospital of Chicago unusually low: confirm this is the full procedure |
Chicago, IL | $2,485 | $3,550 | $6,343.80 | 0.4× |
| DeSoto Regional Health System unusually low: confirm this is the full procedure |
Mansfield, LA | $2,544.50 | $3,635 | $5,360.39 | 0.5× |
| Sidney Health Center unusually low: confirm this is the full procedure |
Sidney, MT | $2,557.92 | $4,131 | $6,048.05 | 0.4× |
| Hurley Medical Center unusually low: confirm this is the full procedure |
Flint, MI | $2,655 | $2,655 | $5,898.54 | 0.5× |
| Waverly Health Center | Waverly, IA | $2,939.56 | $5,653 | $5,690.97 | 0.5× |
| Vanderbilt University Hospital | Nashville, TN | $3,044.52 | $5,638 | $5,811.09 | 0.5× |
| Titus Regional Medical Center | Mount Pleasant, TX | $3,075 | $5,125 | $5,946.81 | 0.5× |
| Mt Sinai Hospital Medical Center | Chicago, IL | $3,189.04 | $4,555.77 | $6,343.80 | 0.5× |
| Holy Cross Hospital | Chicago, IL | $3,189.04 | $4,555.77 | $6,343.80 | 0.5× |
| Baylor Medical Center at Trophy Club | Trophy Club, TX | $3,411 | $5,685 | $5,946.81 | 0.6× |
| St. John's Medical Center | Jackson, WY | $3,513 | $3,513 | $6,048.05 | 0.6× |
| CAMC Greenbrier Valley Medical Center | Ronceverte, WV | $3,895 | $3,895 | $5,678.64 | 0.7× |
| Erie County Medical Center | Buffalo, NY | $4,193.02 | — | $7,389.63 | 0.6× |
| Texas Scottish Rite Hospital For Children | Dallas, TX | $4,685 | $4,685 | $5,946.81 | 0.8× |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $5,276.46 | $10,346 | $5,768.99 | 0.9× |
| Charleston Area Medical Center | Charleston, WV | $5,291 | $5,291 | $5,678.64 | 0.9× |
| 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× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $6,495.68 | — | $5,375.99 | 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× |
| 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 | — | $6,048.05 | 1.5× |
| Treasure Valley Hospital | Boise, ID | $9,318.02 | — | $5,981.28 | 1.6× |
| 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 |
| Duncan Regional Hospital, Inc | Duncan, OK | $12,060.84 | — | $5,693.51 | 2.1× |
| Community Hospital East | Indianapolis, IN | $12,270 | $20,450 | $6,263.24 | 2.0× |
| Mercyhealth Fhn Hospital | Freeport, IL | $12,660.80 | $15,826 | $6,343.80 | 2.0× |
| Alaska Native Medical Center | Anchorage, AK | $13,359 | $13,359 | $6,569.88 | 2.0× |
| Montefiore Medical Center | Bronx, NY | $13,456.05 | $20,575 | $7,389.63 | 1.8× |
| 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× |
| Parkland Memorial Hospital | Dallas, TX | $36,506.29 | $91,265.72 | $5,946.81 | 6.1× |
| Seattle Children's Hospital | Seattle, WA | $85,960.68 | — | $6,874.33 | 12.5× |
| Graham Hospital Association | Canton, IL | — | $3,012.58 | $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.