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.
97 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 | $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× |
| Memorial Medical Center likely a partial charge, not the full procedure |
Port Lavaca, TX | $455.55 | $650.78 | $5,946.81 | 0.1× |
| 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× |
| UK St. Claire Regional Medical Center likely a partial charge, not the full procedure |
Morehead, KY | $555.75 | $741 | $5,730.53 | 0.1× |
| Arbor Health—Morton Hospital likely a partial charge, not the full procedure |
Morton, WA | $610.70 | $985 | $6,596.73 | 0.1× |
| Winona Health likely a partial charge, not the full procedure |
Winona, MN | $715.26 | $2,043.60 | $6,109.74 | 0.1× |
| Kingman Regional Medical Center likely a partial charge, not the full procedure |
Kingman, AZ | $715.40 | $2,044 | $6,316.95 | 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× |
| 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× |
| Spanish Peaks Regional Health Center likely a partial charge, not the full procedure |
Walsenburg, CO | $925.20 | $1,028 | $6,244.73 | 0.1× |
| OU Health University of Oklahoma Medical Center likely a partial charge, not the full procedure |
Oklahoma City, OK | $1,019.84 | $10,198.42 | $5,693.51 | 0.2× |
| Conway Medical Center likely a partial charge, not the full procedure |
Conway, SC | $1,123 | $1,123 | $5,505.90 | 0.2× |
| DeSoto Regional Health System likely a partial charge, not the full procedure |
Mansfield, LA | $1,179.50 | $1,685 | $5,360.39 | 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× |
| 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× |
| 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× |
| Mercy Hospital St. Louis unusually low: confirm this is the full procedure |
St. Louis, MO | $1,781.98 | $2,741.50 | $5,929.39 | 0.3× |
| 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× |
| 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× |
| 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× |
| 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× |
| 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× |
| 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× |
| 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× |
| 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× |
| 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× |
| Griffin Hospital | Derby, CT | $7,072.05 | — | $7,096.78 | 1.0× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $7,077.66 | $7,077.66 | $5,946.81 | 1.2× |
| 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× |
| 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× |
| Riceland Medical Center | Winnie, TX | $8,854 | $9,119 | $5,946.81 | 1.5× |
| 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× |
| 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× |
| 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× |
| UVA Health University Medical Center | Charlottesville, VA | $27,181.51 | $45,302.52 | $5,939.19 | 4.6× |
| 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 | — |
"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.