Open treatment of palatal or maxillary fracture (LeFort I type); Facility (CPT 21422)

21422 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.

175 of 4255 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.

Compare interactively: search all codes, set your location →

HospitalLocationPosted cashPosted grossMedicare 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 $332 $1,328 $5,390.14 0.1×
Unity Health - Jacksonville
likely a partial charge, not the full procedure
Jacksonville, AR $332 $1,328 $5,562.15 0.1×
Unity Health - Newport
likely a partial charge, not the full procedure
Newport, AR $332 $1,328 $5,390.14 0.1×
Nacogdoches Memorial Hospital
likely a partial charge, not the full procedure
Nacogdoches, TX $361 $1,204 $5,946.81 0.1×
Westfield Memorial Hospital, Inc
likely a partial charge, not the full procedure
Westfield, NY $390.72 $1,776 $7,389.63 0.1×
Winona Health
range across 3 matching MRF lines
Winona, MN $476.84–$1,192.10 $1,362.40–$3,406 $6,109.74 varies
East Carroll Parish Hospital
likely a partial charge, not the full procedure
Lake Providence, LA $509.25 $679 $5,389.78 0.1×
Concord Hospital
likely a partial charge, not the full procedure
Concord, NH $549.90 $1,833 $6,320.94 0.1×
Concord Hospital – Laconia
likely a partial charge, not the full procedure
Laconia, NH $549.90 $1,833 $6,320.94 0.1×
Concord Hospital – Franklin
likely a partial charge, not the full procedure
Franklin, NH $549.90 $1,833 $6,320.94 0.1×
O'connor Hospital
likely a partial charge, not the full procedure
Delhi, NY $555.39 $2,057 $7,389.63 0.1×
Little Falls Hospital
likely a partial charge, not the full procedure
Little Falls, NY $555.39 $2,057 $7,389.63 0.1×
Cobleskill Regional Hospital
likely a partial charge, not the full procedure
Cobleskill, NY $555.39 $2,057 $7,389.63 0.1×
UK St. Claire Regional Medical Center
likely a partial charge, not the full procedure
Morehead, KY $555.75 $741 $5,730.53 0.1×
Kingman Regional Medical Center
range across 3 matching MRF lines
Kingman, AZ $561.05–$777.35 $1,603–$2,221 $6,316.95 varies
Arbor Health—Morton Hospital
likely a partial charge, not the full procedure
Morton, WA $610.70 $985 $6,596.73 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
Bayside Community Hospital
likely a partial charge, not the full procedure
Anahuac, TX $700 $700 $5,946.81 0.1×
Vanderbilt Bedford Hospital
likely a partial charge, not the full procedure
Shelbyville, TN $774.30 $2,670 $5,652.87 0.1×
Vanderbilt Tullahoma-Harton Hospital
likely a partial charge, not the full procedure
Tullahoma, TN $774.30 $2,670 $5,619.85 0.1×
Vanderbilt Wilson County Hospital
likely a partial charge, not the full procedure
Lebanon, TN $774.30 $2,670 $5,679.36 0.1×
OU Health University of Oklahoma Medical Center
likely a partial charge, not the full procedure
Oklahoma City, OK $780.99 $7,809.90 $5,693.51 0.1×
Southern Ohio Medical Center
likely a partial charge, not the full procedure
Portsmouth, OH $887.50 $1,775 $5,600.62 0.2×
Baylor Scott and White Surgical Hospital Las Colin
likely a partial charge, not the full procedure
Irving, TX $919.80 $1,533 $5,946.81 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
Lima Memorial Health System
likely a partial charge, not the full procedure
Lima, OH $943.20 $1,048 $5,652.51 0.2×
Mercy Medical Center - Cedar Rapids
likely a partial charge, not the full procedure
Cedar Rapids, IA $963 $1,605 $5,724 0.2×
Mt Sinai Hospital Medical Center
likely a partial charge, not the full procedure
Chicago, IL $1,064.29 $1,520.42 $6,343.80 0.2×
Holy Cross Hospital
likely a partial charge, not the full procedure
Chicago, IL $1,064.29 $1,520.42 $6,343.80 0.2×
Spanish Peaks Regional Health Center
likely a partial charge, not the full procedure
Walsenburg, CO $1,082.70 $1,203 $6,244.73 0.2×
Washington Regional Medical Center
likely a partial charge, not the full procedure
Fayetteville, AR $1,115.25 $1,487 $5,581.02 0.2×
Altru Hospital
range across 3 matching MRF lines
Grand Forks, ND $1,116.91–$2,508.93 $1,831–$4,113 $6,048.05 varies
Conway Medical Center
likely a partial charge, not the full procedure
Conway, SC $1,123 $1,123 $5,505.90 0.2×
John H Stroger Jr Hospital
likely a partial charge, not the full procedure
Chicago, IL $1,132.60 $1,618 $6,343.80 0.2×
Provident Hospital of Chicago
likely a partial charge, not the full procedure
Chicago, IL $1,132.60 $1,618 $6,343.80 0.2×
Oroville Hospital
likely a partial charge, not the full procedure
Oroville, CA $1,142 $2,283 $7,613.89 0.1×
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
DeSoto Regional Health System
likely a partial charge, not the full procedure
Mansfield, LA $1,179.50 $1,685 $5,360.39 0.2×
Sidney Health Center
likely a partial charge, not the full procedure
Sidney, MT $1,196.92 $1,933 $6,048.05 0.2×
Blessing Hospital
likely a partial charge, not the full procedure
Quincy, IL $1,226.78 $2,044.62 $6,343.80 0.2×
Hurley Medical Center
likely a partial charge, not the full procedure
Flint, MI $1,301 $1,301 $5,898.54 0.2×
Mizell Memorial Hospital
likely a partial charge, not the full procedure
Opp, AL $1,313.10 $1,459 $5,102.01 0.3×
North Central Kansas Medical Center
likely a partial charge, not the full procedure
Concordia, KS $1,317.89 $1,882.70 $5,444.21 0.2×
Waverly Health Center
likely a partial charge, not the full procedure
Waverly, IA $1,358.24 $2,612 $5,690.97 0.2×
Titus Regional Medical Center
likely a partial charge, not the full procedure
Mount Pleasant, TX $1,399.20 $2,332 $5,946.81 0.2×
Vanderbilt University Hospital
likely a partial charge, not the full procedure
Nashville, TN $1,441.80 $2,670 $5,811.09 0.2×
Nebraska Medical Center
likely a partial charge, not the full procedure
Omaha, NE $1,535.63 $2,362.50 $6,147.12 0.2×
Bellevue Medical Center
likely a partial charge, not the full procedure
Bellevue, NE $1,535.63 $2,362.50 $6,147.12 0.2×
MetroHealth System
likely a partial charge, not the full procedure
Cleveland, OH $1,542.84 $4,408.12 $5,600.62 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
Mercy Hospital St. Louis
range across 2 matching MRF lines
St. Louis, MO $1,637.35–$1,926.60 $2,519–$2,964 $5,929.39 varies
St. John's Medical Center
likely a partial charge, not the full procedure
Jackson, WY $1,718 $1,718 $6,048.05 0.3×
CAMC Greenbrier Valley Medical Center
unusually low: confirm this is the full procedure
Ronceverte, WV $1,737 $1,737 $5,678.64 0.3×
Contra Costa Regional Medical Center
likely a partial charge, not the full procedure
Martinez, CA $1,756 $1,756 $8,359.25 0.2×
Broadlawns Medical Center
range across 2 matching MRF lines
Des Moines, IA $1,846–$6,057 $1,846–$6,057 $5,717.83 varies
Baylor Scott and White Surgical Hospital Fortworth
unusually low: confirm this is the full procedure
Fort Worth, TX $1,870.80 $3,118 $5,956.60 0.3×
Memorial Hospital
unusually low: confirm this is the full procedure
Abilene, KS $1,882.70 $1,882.70 $5,444.21 0.3×
Sugar Land Surgical Hospital Llp
unusually low: confirm this is the full procedure
Sugar Land, TX $1,884 $3,140 $5,946.81 0.3×
Tops Surgical Specialty Hospital
unusually low: confirm this is the full procedure
Houston, TX $1,923.25 $5,495 $5,946.81 0.3×
Northbay Medical Center
likely a partial charge, not the full procedure
Fairfield, CA $1,939.52 $1,939.52 $8,697.10 0.2×
Ochsner LSU Health - Academic Medical Center
unusually low: confirm this is the full procedure
Shreveport, LA $1,977.56 $7,606 $5,711.29 0.3×
Crystal Clinic Orthopaedic Center
unusually low: confirm this is the full procedure
Akron, OH $2,058.75 $2,745 $5,611.14 0.4×
Baylor Scott and White Medical Center Uptown
unusually low: confirm this is the full procedure
Dallas, TX $2,078.40 $3,464 $5,946.81 0.3×
Ochsner LSU Health - St. Mary Medical Center
unusually low: confirm this is the full procedure
Shreveport, LA $2,129.68 $7,606 $5,360.39 0.4×
Texas Scottish Rite Hospital For Children
unusually low: confirm this is the full procedure
Dallas, TX $2,267 $2,267 $5,946.81 0.4×
Oklahoma Center for Orthopaedic & Multi-Specialty Surgery
unusually low: confirm this is the full procedure
Oklahoma City, OK $2,436.21 $9,023 $5,693.51 0.4×
Charleston Area Medical Center
unusually low: confirm this is the full procedure
Charleston, WV $2,514 $2,514 $5,678.64 0.4×
Sentara Albemarle Medical Center
unusually low: confirm this is the full procedure
Elizabeth City, NC $2,537 $5,074 $5,658.31 0.4×
Baylor Medical Center at Trophy Club
unusually low: confirm this is the full procedure
Trophy Club, TX $2,658 $4,430 $5,946.81 0.4×
Cincinnati Children's Hospital Medical Center Cincinnati, OH $2,906.49 $5,699 $5,768.99 0.5×
Sentara RMH Medical Center Harrisonburg, VA $2,907 $5,814 $5,775.89 0.5×
Sentara Martha Jefferson Hospital Charlottesville, VA $2,907 $5,814 $5,775.89 0.5×
Incline Village Community Hospital
unusually low: confirm this is the full procedure
Incline Village, NV $3,066 $3,066 $6,248 0.5×
Tahoe Forest Hospital
unusually low: confirm this is the full procedure
Truckee, CA $3,066 $3,066 $7,613.89 0.4×
Sentara Norfolk General Hospital Norfolk, VA $3,108 $6,216 $5,775.89 0.5×
Sentara Obici Hospital Suffolk, VA $3,108 $6,216 $5,775.89 0.5×
Sentara Leigh Hospital Norfolk, VA $3,108 $6,216 $5,775.89 0.5×
Sentara Virginia Beach General Hospital Virginia Beach, VA $3,108 $6,216 $5,775.89 0.5×
Sentara CarePlex Hospital Hampton, VA $3,108 $6,216 $5,775.89 0.5×
Sentara Northern Virginia Medical Center Woodbridge, VA $3,108 $6,216 $5,775.89 0.5×
Sentara Princess Anne Hospital Virginia Beach, VA $3,108 $6,216 $5,775.89 0.5×
Colquitt Regional Medical Center Moultrie, GA $3,183 $3,183 $5,361.11 0.6×
Billings Clinic Hospital Billings, MT $3,195 $3,195 $6,048.05 0.5×
Sentara Halifax Regional Hospital South Boston, VA $3,416 $6,832 $5,821.61 0.6×
UAMS Medical Center Little Rock, AR $3,435 $5,725 $5,562.15 0.6×
Black Hills Surgical Hospital LLC Rapid City, SD $3,453.70 $5,756.17 $6,048.05 0.6×
Oakleaf Surgical Hospital Altoona, WI $3,468.63 $3,854.03 $5,892.37 0.6×
Mercyhealth Fhn Hospital Freeport, IL $3,932 $4,915 $6,343.80 0.6×
Baylor Scott and White Surgical Hospital at Sherma Sherman, TX $3,979.80 $6,633 $5,966.76 0.7×
Mountain View Hospital Idaho Falls, ID $4,120 $4,120 $5,848.46 0.7×
Idaho Falls Community Hospital Idaho Falls, ID $4,120 $4,120 $5,848.46 0.7×
Treasure Valley Hospital Boise, ID $4,514.90 $4,697 $5,981.28 0.8×
The Hospital at Westlake Medical Center Austin, TX $5,012.88 $29,306.02 $5,946.81 0.8×
Park Place Surgical Hospital Lafayette, LA $5,256.97 $1,050 $5,360.39 1.0×
Doctors Hosptal at Renaissance
range across 4 matching MRF lines
Edinburg, TX $5,422.11–$15,073.60 $5,422.11–$15,073.60 $5,946.81 varies
Montefiore Medical Center Bronx, NY $5,575.35 $8,525 $7,389.63 0.8×
Castleview Hospital Price, UT $5,906.38 $10,738.87 $5,993.98 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×
Resurrection Medical Center Chicago, IL $6,312 $30,498.50 $6,343.80 1.0×
Alaska Native Medical Center Anchorage, AK $6,425 $6,425 $6,569.88 1.0×
Our Lady of the Lake Surgical Hospital Slidell, LA $6,495.68 — $5,375.99 1.2×
Memorial Hermann Houston Physicians Hospital Webster, TX $6,517.76 $13,733 $5,946.81 1.1×
Summit Medical Center, LLC Edmond, OK $6,778.80 — $5,693.51 1.2×
Karmanos Cancer Center Detroit, MI $6,959.13 $13,918.25 $5,901.08 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×
Erie County Medical Center Buffalo, NY $7,053 — $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×
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City, OK $7,473.95 $13,589 $5,693.51 1.3×
Madison Memorial Hospital Rexburg, ID $7,554 $10,072 $5,848.46 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×
Riceland Medical Center Winnie, TX $8,854 $9,119 $5,946.81 1.5×
Dunes Surgical Hospital Dakota Dunes, SD $8,963.81 — $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
JPS Health Network Fort Worth, TX $10,240.80 $17,068 $5,946.81 1.7×
Jackson Hospital Montgomery, AL $10,330.72 $54,372.21 $5,309.58‡ 1.9×
University of Kansas Hospital Kansas City, KS $10,488.10 $52,440.51 $5,526.95 1.9×
Same Day Surgery Center LLC Rapid City, SD $11,747.27 $14,684.09 $6,048.05 1.9×
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×
Tallahassee Memorial Hospital Tallahassee, FL $14,460.97 $20,658.54 $6,181.95 2.3×
Lee Memorial Hospital Fort Myers, FL $14,637.36 $73,186.79 $6,181.95 2.4×
Gulf Coast Medical Center Fort Myers, FL $14,637.36 $73,186.79 $6,181.95 2.4×
Cape Coral Hospital Cape Coral, FL $14,637.36 $73,186.79 $6,181.95 2.4×
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×
McLaren Oakland Pontiac, MI $17,650.94 $35,301.88 $5,898.54 3.0×
Bon Secours Community Hospital Port Jervis, NY $20,137 $20,137 $7,389.63 2.7×
Good Samaritan Hospital of Suffern Suffern, NY $20,137 $20,137 $7,389.63 2.7×
St. Anthony Community Hospital Warwick, NY $20,137 $20,137 $7,389.63 2.7×
ThedaCare Regional Medical Center - Neenah Inc
range across 2 matching MRF lines
Neenah, WI $20,147.96–$20,752.42 $35,978.50–$37,057.90 $5,750.12 varies
ThedaCare Regional Medical Center - Appleton Inc
range across 2 matching MRF lines
Appleton, WI $20,147.96–$20,752.42 $35,978.50–$37,057.90 $5,799.48 varies
ThedaCare Medical Center - Wild Rose Inc
range across 2 matching MRF lines
Wild Rose, WI $20,147.96–$20,752.42 $35,978.50–$37,057.90 $5,750.12 varies
ThedaCare Medical Center New London
range across 2 matching MRF lines
New London, WI $20,147.96–$20,752.42 $35,978.50–$37,057.90 $5,780.61 varies
ThedaCare Medical Center - Waupaca Inc
range across 2 matching MRF lines
Waupaca, WI $20,147.96–$20,752.42 $35,978.50–$37,057.90 $5,750.12 varies
ThedaCare Medical Center - Shawano Inc
range across 2 matching MRF lines
Shawano, WI $20,147.96–$20,752.42 $35,978.50–$37,057.90 $5,750.12 varies
ThedaCare Medical Center - Berlin Inc
range across 2 matching MRF lines
Berlin, WI $20,147.96–$20,752.42 $35,978.50–$37,057.90 $5,750.12 varies
Westchester Medical Center Valhalla, NY $20,317 $20,317 $7,389.63 2.7×
Mount Carmel East Columbus, OH $26,794.98 — $5,708.03 4.7×
UVA Health University Medical Center Charlottesville, VA $27,181.51 $45,302.52 $5,939.19 4.6×
Lutheran Hospital of Indiana Fort Wayne, IN $33,741.71 $112,472.35 $6,263.24 5.4×
Mercy Health St. Vincent Medical Center Toledo, OH $51,769.65 $86,282.75 $5,750.85 9.0×
Uc San Diego Health Hillcrest - Hillcrest Med Ctr San Diego, CA $67,029.55 $121,871.91 $7,613.89 8.8×
Bon Secours St. Mary's Hospital Richmond, VA $119,943.07 $199,905.12 $5,939.19 20.2×
Cameron Regional Medical Center Cameron, MO — $853 $5,929.39 —
Graham Hospital Association Canton, IL — $1,537.69 $6,343.80 —
Schoolcraft Memorial Hospital
range across 2 matching MRF lines
Manistique, MI — $2,028–$3,596 $5,898.54 —

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.

‡ Price taken from the hospital's inpatient list; no outpatient price posted.