Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation Facility (CPT 21195)
21195 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.
65 of 2639 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 | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Washington County Hospital and Nursing Home likely a partial charge, not the full procedure |
Chatom, AL | $54.17 | — | $5,102.01 | 0.0× |
| Unity Health - White County Medical Center likely a partial charge, not the full procedure |
Searcy, AR | $676.75 | $2,707 | $5,390.14 | 0.1× |
| Unity Health - Jacksonville likely a partial charge, not the full procedure |
Jacksonville, AR | $676.75 | $2,707 | $5,562.15 | 0.1× |
| Unity Health - Newport likely a partial charge, not the full procedure |
Newport, AR | $676.75 | $2,707 | $5,390.14 | 0.1× |
| Nacogdoches Memorial Hospital likely a partial charge, not the full procedure |
Nacogdoches, TX | $767 | $2,555 | $5,946.81 | 0.1× |
| Memorial Medical Center likely a partial charge, not the full procedure |
Port Lavaca, TX | $914.68 | $1,306.69 | $5,946.81 | 0.2× |
| East Carroll Parish Hospital likely a partial charge, not the full procedure |
Lake Providence, LA | $1,014.75 | $1,353 | $5,389.78 | 0.2× |
| Candler Hospital likely a partial charge, not the full procedure |
Savannah, GA | $1,105.80 | $3,686 | $5,187.65 | 0.2× |
| St. Joseph's Hospital likely a partial charge, not the full procedure |
Savannah, GA | $1,105.80 | $3,686 | $5,187.65 | 0.2× |
| Concord Hospital likely a partial charge, not the full procedure |
Concord, NH | $1,207.20 | $4,024 | $6,320.94 | 0.2× |
| Concord Hospital – Laconia likely a partial charge, not the full procedure |
Laconia, NH | $1,207.20 | $4,024 | $6,320.94 | 0.2× |
| Concord Hospital – Franklin likely a partial charge, not the full procedure |
Franklin, NH | $1,207.20 | $4,024 | $6,320.94 | 0.2× |
| Vanderbilt Bedford Hospital likely a partial charge, not the full procedure |
Shelbyville, TN | $1,572.09 | $5,421 | $5,652.87 | 0.3× |
| Vanderbilt Tullahoma-Harton Hospital likely a partial charge, not the full procedure |
Tullahoma, TN | $1,572.09 | $5,421 | $5,619.85 | 0.3× |
| Vanderbilt Wilson County Hospital likely a partial charge, not the full procedure |
Lebanon, TN | $1,572.09 | $5,421 | $5,679.36 | 0.3× |
| Spanish Peaks Regional Health Center unusually low: confirm this is the full procedure |
Walsenburg, CO | $1,991.70 | $2,213 | $6,244.73 | 0.3× |
| Mcalester Regional Health Center unusually low: confirm this is the full procedure |
Mcalester, OK | $2,075.20 | $5,188 | $5,693.51 | 0.4× |
| DeSoto Regional Health System unusually low: confirm this is the full procedure |
Mansfield, LA | $2,376.50 | $3,395 | $5,360.39 | 0.4× |
| Titus Regional Medical Center unusually low: confirm this is the full procedure |
Mount Pleasant, TX | $2,742 | $4,570 | $5,946.81 | 0.5× |
| Nebraska Medical Center unusually low: confirm this is the full procedure |
Omaha, NE | $2,764.13 | $4,252.50 | $6,147.12 | 0.4× |
| Bellevue Medical Center unusually low: confirm this is the full procedure |
Bellevue, NE | $2,764.13 | $4,252.50 | $6,147.12 | 0.4× |
| OU Health University of Oklahoma Medical Center | Oklahoma City, OK | $2,869.77 | $28,697.66 | $5,693.51 | 0.5× |
| Vanderbilt University Hospital | Nashville, TN | $2,927.34 | $5,421 | $5,811.09 | 0.5× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $3,350.74 | $5,584.56 | $5,946.81 | 0.6× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $3,350.74 | $5,584.56 | $5,946.81 | 0.6× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $3,350.74 | $5,584.56 | $5,946.81 | 0.6× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $3,350.74 | $5,584.56 | $5,946.81 | 0.6× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $3,350.74 | $5,584.56 | $5,946.81 | 0.6× |
| St. John's Medical Center | Jackson, WY | $3,454 | $3,454 | $6,048.05 | 0.6× |
| Charleston Area Medical Center | Charleston, WV | $3,600 | $3,600 | $5,678.64 | 0.6× |
| CAMC Greenbrier Valley Medical Center | Ronceverte, WV | $3,703 | $3,703 | $5,678.64 | 0.7× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $4,555.73 | $7,592.89 | $5,946.81 | 0.8× |
| Scott & White Hospital-round Rock | Round Rock, TX | $4,555.73 | $7,592.89 | $5,946.81 | 0.8× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $4,555.73 | $7,592.89 | $5,946.81 | 0.8× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $4,555.73 | $7,592.89 | $5,946.81 | 0.8× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $4,555.73 | $7,592.89 | $5,946.81 | 0.8× |
| Texas Scottish Rite Hospital For Children | Dallas, TX | $4,568 | $4,568 | $5,946.81 | 0.8× |
| Summit Surgical, LLC | Hutchinson, KS | $4,696.04 | $5,870.05 | $5,444.21 | 0.9× |
| Park Place Surgical Hospital | Lafayette, LA | $5,256.97 | $13,550.33 | $5,360.39 | 1.0× |
| Treasure Valley Hospital | Boise, ID | $5,341.42 | — | $5,981.28 | 0.9× |
| Lakeside Medical Center | Belle Glade, FL | $5,938.02 | — | $6,181.95 | 1.0× |
| 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× |
| 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× |
| Northwest Hills Surgical Hospital | Austin, TX | $7,401.24 | $20,559 | $5,946.81 | 1.2× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $7,401.56 | — | $5,679.36 | 1.3× |
| Madison Memorial Hospital | Rexburg, ID | $7,584.75 | $10,113 | $5,848.46 | 1.3× |
| Hilton Head Medical Center | Hilton Head Island, SC | $8,912.72 | — | $5,505.90 | 1.6× |
| East Cooper Medical Center | Mount Pleasant, SC | $8,912.72 | — | $5,505.90 | 1.6× |
| Coastal Carolina Medical Center | Hardeeville, SC | $8,912.72 | — | $5,505.90 | 1.6× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $9,422.15 | $9,422.15 | $5,946.81 | 1.6× |
| 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× |
| 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× |
| Omega Hospital | Metairie, LA | $15,928.36 | $27,305.74 | $5,556.71 | 2.9× |
| 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× |
| Grandview Medical Center | Birmingham, AL | $32,928.95 | $219,526.30 | $5,414.82 | 6.1× |
| Regional Medical Center | Memphis, TN | $66,306.11 | $103,119.93 | $5,484.86 | 12.1× |
"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.