Repair dislocated jaw (CPT 21490)
21490 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.
71 of 2110 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 | Chatom, AL | $54.17 | — | $2,857.43 | 0.0× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $442 | $1,474 | $3,330.57 | 0.1× |
| Unity Health - White County Medical Center | Searcy, AR | $467 | $1,868 | $3,018.80 | 0.2× |
| Unity Health - Jacksonville | Jacksonville, AR | $467 | $1,868 | $3,115.14 | 0.1× |
| Unity Health - Newport | Newport, AR | $467 | $1,868 | $3,018.80 | 0.2× |
| Memorial Medical Center | Port Lavaca, TX | $638.79 | $912.55 | $3,330.57 | 0.2× |
| University Medical Center of El Paso | El Paso, TX | $645.41 | $3,227.05 | $3,330.57 | 0.2× |
| East Carroll Parish Hospital | Lake Providence, LA | $697.50 | $930 | $3,018.60 | 0.2× |
| Erlanger Bledsoe Hospital | Pikeville, TN | $1,096.76 | $3,795 | $3,008.03 | 0.4× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $1,150.20 | $1,278 | $3,497.42 | 0.3× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $1,152.75 | $3,975 | $3,165.95 | 0.4× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $1,152.75 | $3,975 | $3,147.45 | 0.4× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $1,152.75 | $3,975 | $3,180.78 | 0.4× |
| DeSoto Regional Health System | Mansfield, LA | $1,648.50 | $2,355 | $3,002.14 | 0.5× |
| Nebraska Medical Center | Omaha, NE | $1,842.75 | $2,835 | $3,442.75 | 0.5× |
| Bellevue Medical Center | Bellevue, NE | $1,842.75 | $2,835 | $3,442.75 | 0.5× |
| Titus Regional Medical Center | Mount Pleasant, TX | $1,903.80 | $3,173 | $3,330.57 | 0.6× |
| Erlanger Baroness Hospital | Chattanooga, TN | $2,003.76 | $3,795 | $3,059.04 | 0.7× |
| Jefferson Regional | Pine Bluff, AR | $2,083 | $2,083 | $3,085.06 | 0.7× |
| Vanderbilt University Hospital | Nashville, TN | $2,146.50 | $3,975 | $3,254.56 | 0.7× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| Baylor Scott and White Medical Center Irving | Irving, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| Baylor Scott and White All Saints Medical Center | Fort Worth, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | $2,635.12 | $4,391.86 | $3,336.05 | 0.8× |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| Baylor Scott & White Heart and Vascular Hospital | Dallas, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| Baylor Regional Medical Center at Plano | Plano, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| The Heart Hospital Baylor Denton | Denton, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| Baylor Scott and White Medical Center Mckinney | Mc Kinney, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| Baylor Scott and White Medical Center Frisco at Pg | Frisco, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| Baylor Scott and White The Heart Hospital Corinth | Denton, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| Erlanger Western Carolina Hospital | Murphy, NC | $2,656.50 | $3,795 | $3,168.99 | 0.8× |
| Park Place Surgical Hospital | Lafayette, LA | $2,944.22 | $7,317.19 | $3,002.14 | 1.0× |
| Texas Scottish Rite Hospital For Children | Dallas, TX | $3,125 | $3,125 | $3,330.57 | 0.9× |
| Lakeside Medical Center | Belle Glade, FL | $3,255.33 | — | $3,462.26 | 0.9× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $3,561.05 | — | $3,010.88 | 1.2× |
| Memorial Hermann Houston Physicians Hospital | Webster, TX | $3,573.15 | $12,367 | $3,330.57 | 1.1× |
| St. John's Medical Center | Jackson, WY | $3,619.50 | $3,619.50 | $3,387.27 | 1.1× |
| Summit Medical Center, LLC | Edmond, OK | $3,726.86 | — | $3,188.71 | 1.2× |
| Griffin Hospital | Derby, CT | $3,877.03 | — | $3,974.62 | 1.0× |
| Valleywise Health Medical Center | Phoenix, AZ | $4,068.55 | — | $3,537.87 | 1.1× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $4,145.32 | — | $3,180.78 | 1.3× |
| Cozad Community Hospital | Cozad, NE | $4,622 | $5,135 | $3,442.75 | 1.3× |
| Summit Surgical, LLC | Hutchinson, KS | $4,696.04 | $5,870.05 | $3,049.08 | 1.5× |
| Northwest Hills Surgical Hospital | Austin, TX | $5,218.20 | $14,495 | $3,330.57 | 1.6× |
| Monroe Regional Hospital | Aberdeen, MS | $6,512.45 | $6,512.45 | $2,858.45 | 2.3× |
| Duncan Regional Hospital, Inc | Duncan, OK | $6,611.96 | — | $3,188.71 | 2.1× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Scott & White Hospital-round Rock | Round Rock, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Community Hospital of Stokes | Danbury, NC | $7,424.31 | $10,918.10 | $3,215.54 | 2.3× |
| Hilton Head Medical Center | Hilton Head Island, SC | $8,912.72 | — | $3,083.64 | 2.9× |
| East Cooper Medical Center | Mount Pleasant, SC | $8,912.72 | — | $3,083.64 | 2.9× |
| Coastal Carolina Medical Center | Hardeeville, SC | $8,912.72 | — | $3,083.64 | 2.9× |
| Northwest Surgical Hospital | Oklahoma City, OK | $9,566.13 | — | $3,188.71 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $9,566.13 | — | $3,188.71 | 3.0× |
| Omega Hospital | Metairie, LA | $13,808.91 | $23,672.42 | $3,112.09 | 4.4× |
| Brushy Creek Family Hospital LLC | Round Rock, TX | $16,929 | $18,810 | $3,330.57 | 5.1× |
| Bandera Family Hospital | San Antonio, TX | $16,929 | $18,810 | $3,330.57 | 5.1× |
| RISE Community Hospital | Prairieville, LA | $16,929 | $18,810 | $3,002.14 | 5.6× |
| Altus Lumberton Hospital | Lumberton, TX | — | $7,200 | $3,330.57 | — |
"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.