Repair oro-maxillary fistula (CPT 30580)

30580 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.

112 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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HospitalLocationCash priceGross chargeMedicare 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 $309.50 $1,238 $5,390.14 0.1×
Unity Health - Jacksonville
likely a partial charge, not the full procedure
Jacksonville, AR $309.50 $1,238 $5,562.15 0.1×
Unity Health - Newport
likely a partial charge, not the full procedure
Newport, AR $309.50 $1,238 $5,390.14 0.1×
Nacogdoches Memorial Hospital
likely a partial charge, not the full procedure
Nacogdoches, TX $351 $1,170 $5,946.81 0.1×
Candler Hospital
likely a partial charge, not the full procedure
Savannah, GA $400.50 $1,335 $5,187.65 0.1×
St. Joseph's Hospital
likely a partial charge, not the full procedure
Savannah, GA $400.50 $1,335 $5,187.65 0.1×
UK St. Claire Regional Medical Center
likely a partial charge, not the full procedure
Morehead, KY $411.75 $549 $5,730.53 0.1×
Memorial Medical Center
likely a partial charge, not the full procedure
Port Lavaca, TX $436.43 $623.47 $5,946.81 0.1×
Ochsner Rush Medical Center
likely a partial charge, not the full procedure
Meridian, MS $467.60 $1,336 $5,227.57 0.1×
East Carroll Parish Hospital
likely a partial charge, not the full procedure
Lake Providence, LA $487.50 $650 $5,389.78 0.1×
UAMS Medical Center
likely a partial charge, not the full procedure
Little Rock, AR $662.25 $1,103.75 $5,562.15 0.1×
Conway Medical Center
likely a partial charge, not the full procedure
Conway, SC $799 $799 $5,505.90 0.1×
Ochsner Laird Hospital
likely a partial charge, not the full procedure
Union, MS $814.96 $1,336 $5,103.83 0.2×
Ochsner Scott Regional
likely a partial charge, not the full procedure
Morton, MS $841.68 $1,336 $5,344.78 0.2×
Ochsner Watkins Hospital
likely a partial charge, not the full procedure
Quitman, MS $895.12 $1,336 $5,103.83 0.2×
Ochsner Stennis Hospital
likely a partial charge, not the full procedure
De Kalb, MS $921.84 $1,336 $5,103.83 0.2×
Spanish Peaks Regional Health Center
likely a partial charge, not the full procedure
Walsenburg, CO $922.50 $1,025 $6,244.73 0.1×
North Central Surgical Center Llp
likely a partial charge, not the full procedure
Dallas, TX $1,002.60 $1,671 $5,946.81‡ 0.2×
CarolinaEast Medical Center
likely a partial charge, not the full procedure
New Bern, NC $1,008.60 $1,681 $5,658.31 0.2×
Ochsner Choctaw General
likely a partial charge, not the full procedure
Butler, AL $1,015.36 $1,336 $5,102.01 0.2×
DeSoto Regional Health System
likely a partial charge, not the full procedure
Mansfield, LA $1,088.50 $1,555 $5,360.39 0.2×
North Sunflower Medical Center
likely a partial charge, not the full procedure
Ruleville, MS $1,300 $2,600 $5,103.83 0.3×
Titus Regional Medical Center
likely a partial charge, not the full procedure
Mount Pleasant, TX $1,332.60 $2,221 $5,946.81 0.2×
Baylor Scott and White Surgical Hospital Las Colin
likely a partial charge, not the full procedure
Irving, TX $1,359 $2,265 $5,946.81 0.2×
Jefferson Regional
likely a partial charge, not the full procedure
Pine Bluff, AR $1,453 $1,453 $5,508.44 0.3×
Baylor Medical Center at Trophy Club
likely a partial charge, not the full procedure
Trophy Club, TX $1,612.20 $2,687 $5,946.81 0.3×
St. John's Medical Center
likely a partial charge, not the full procedure
Jackson, WY $1,665 $1,665 $6,048.05 0.3×
Texas Scottish Rite Hospital For Children
likely a partial charge, not the full procedure
Dallas, TX $1,688 $1,688 $5,946.81 0.3×
Baylor Scott and White Surgical Hospital Fortworth
likely a partial charge, not the full procedure
Fort Worth, TX $1,765.20 $2,942 $5,956.60 0.3×
Nebraska Medical Center
unusually low: confirm this is the full procedure
Omaha, NE $1,904.86 $2,930.55 $6,147.12 0.3×
Bellevue Medical Center
unusually low: confirm this is the full procedure
Bellevue, NE $1,904.86 $2,930.55 $6,147.12 0.3×
Charlotte Hungerford Hospital
likely a partial charge, not the full procedure
Torrington, CT $1,923.15 $1,923.15 $7,096.78 0.3×
Lafayette Surgical Specialty Hospital
unusually low: confirm this is the full procedure
Lafayette, LA $2,109.66 $2,109.66 $5,360.39 0.4×
Vanderbilt Bedford Hospital
unusually low: confirm this is the full procedure
Shelbyville, TN $2,245.90 $7,744.50 $5,652.87 0.4×
Vanderbilt Tullahoma-Harton Hospital
unusually low: confirm this is the full procedure
Tullahoma, TN $2,245.90 $7,744.50 $5,619.85 0.4×
Vanderbilt Wilson County Hospital
unusually low: confirm this is the full procedure
Lebanon, TN $2,245.90 $7,744.50 $5,679.36 0.4×
Lake Cumberland Regional Hospital
unusually low: confirm this is the full procedure
Somerset, KY $2,322.93 $5,807.32 $5,730.53 0.4×
OU Health University of Oklahoma Medical Center
unusually low: confirm this is the full procedure
Oklahoma City, OK $2,382.30 $23,823 $5,693.51 0.4×
Tops Surgical Specialty Hospital
unusually low: confirm this is the full procedure
Houston, TX $2,497.25 $7,135 $5,946.81 0.4×
Driscoll Childrens Hospital
unusually low: confirm this is the full procedure
Corpus Christi, TX $2,508 $12,540 $5,946.81 0.4×
Baptist Health Medical Center-Conway
unusually low: confirm this is the full procedure
Conway, AR $2,559.96 $10,239.84 $5,562.15 0.5×
Baptist Health Medical Center-Magnolia
unusually low: confirm this is the full procedure
Magnolia, AR $2,559.96 $10,239.84 $5,390.14 0.5×
Methodist Hospital
unusually low: confirm this is the full procedure
Omaha, NE $2,579.76 $7,166 $6,147.12 0.4×
Driscoll Children's Hospital Rio Grande Valley
unusually low: confirm this is the full procedure
Edinburg, TX $2,884.20 $14,421 $5,946.81 0.5×
Beebe Medical Center
unusually low: confirm this is the full procedure
Lewes, DE $2,898.08 $3,409.50 $6,238.93 0.5×
Parkland Memorial Hospital Dallas, TX $3,046.40 $7,616 $5,946.81 0.5×
Baylor Scott and White Surgical Hospital at Sherma Sherman, TX $3,102 $5,170 $5,966.76 0.5×
Tallahassee Memorial Hospital Tallahassee, FL $3,146.40 $4,494.85 $6,181.95 0.5×
Ochsner LSU Health - Academic Medical Center Shreveport, LA $3,208.66 $12,341 $5,711.29 0.6×
Ochsner LSU Health - St. Mary Medical Center Shreveport, LA $3,455.48 $12,341 $5,360.39 0.6×
Missouri Delta Medical Center Sikeston, MO $3,909.75 $15,639 $5,929.39 0.7×
Vanderbilt University Hospital Nashville, TN $4,182.03 $7,744.50 $5,811.09 0.7×
Atrium Health Wake Forest Baptist Medical Center Winston-Salem, NC $4,694 $9,388 $5,741.41 0.8×
Baylor Scott & White Medical Center -taylor Taylor, TX $4,889.81 $8,149.68 $5,946.81 0.8×
Scott & White Hospital-round Rock Round Rock, TX $4,889.81 $8,149.68 $5,946.81 0.8×
Baylor Scott & White Medical Center - Pflugerville Pflugerville, TX $4,889.81 $8,149.68 $5,946.81 0.8×
Baylor Scott & White Medical Center - Buda Buda, TX $4,889.81 $8,149.68 $5,946.81 0.8×
Baylor Scott & White Medical Center- Austin Austin, TX $4,889.81 $8,149.68 $5,946.81 0.8×
The Hospital at Westlake Medical Center Austin, TX $5,012.88 $32,348.77 $5,946.81 0.8×
Park Place Surgical Hospital Lafayette, LA $5,256.97 $13,550.33 $5,360.39 1.0×
Lee Memorial Hospital Fort Myers, FL $5,378.71 $26,893.54 $6,181.95 0.9×
Gulf Coast Medical Center Fort Myers, FL $5,378.71 $26,893.54 $6,181.95 0.9×
Cape Coral Hospital Cape Coral, FL $5,378.71 $26,893.54 $6,181.95 0.9×
Jackson Memorial Hospital Miami, FL $5,408 $8,086 $6,181.95 0.9×
Northwest Hills Surgical Hospital Austin, TX $5,657.40 $15,715 $5,946.81 1.0×
Baylor Scott & White Medical Center - Temple Temple, TX $5,916.67 $9,861.12 $5,946.81 1.0×
Baylor Scott & White Medical Center - Hillcrest Waco, TX $5,916.67 $9,861.12 $5,946.81 1.0×
Baylor Scott & White Medical Center- College Stati College Station, TX $5,916.67 $9,861.12 $5,946.81 1.0×
Baylor Scott & White Medical Center - Marble Falls Marble Falls, TX $5,916.67 $9,861.12 $5,946.81 1.0×
Baylor Scott & White Hospital Brenham Brenham, TX $5,916.67 $9,861.12 $5,946.81 1.0×
Lakeside Medical Center Belle Glade, FL $5,938.02 $6,181.95 1.0×
Harris Health Houston, TX $6,282.72 $7,047 $5,946.81 1.1×
Methodist Healthcare Memphis Hospitals Memphis, TN $6,357.81 $28,899.15 $5,484.86 1.2×
Methodist Olive Branch Hospital Olive Branch, MS $6,357.81 $28,899.15 $5,484.86 1.2×
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 $13,519 $5,946.81 1.1×
University Health Truman Medical Center Kansas City, MO $6,601.65 $12,003 $5,929.39 1.1×
University Health Lakewood Medical Center Kansas City, MO $6,601.65 $12,003 $5,929.39 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×
Valleywise Health Medical Center Phoenix, AZ $7,264.49 $6,316.95 1.1×
Saint Thomas Hospital for Specialty Surgery Nashville, TN $7,401.56 $5,679.36 1.3×
Emory University Hospital Atlanta, GA $8,241 $8,241 $5,937.73 1.4×
Emory Decatur Hospital Decatur, GA $8,241 $8,241 $5,937.73 1.4×
Emory University Hospital Midtown Atlanta, GA $8,241 $8,241 $6,012.85 1.4×
Emory Saint Joseph's Hospital Atlanta, GA $8,241 $8,241 $6,012.85 1.4×
Emory Hillandale Hospital Lithonia, GA $8,241 $8,241 $5,937.73 1.4×
Emory Johns Creek Hospital Johns Creek, GA $8,241 $8,241 $6,012.85 1.4×
MedStar Washington Hospital Center Washington, DC $8,286.75 $12,748.85 $6,993.36 1.2×
CaroMont Regional Medical Center Gastonia, NC $8,669 $8,669 $5,752.66 1.5×
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×
Ascentist Hospital LLC Leawood, KS $10,088.30 $17,151 $5,604.61 1.8×
Connally Memorial Medical Center Floresville, TX $10,875 $14,500 $5,946.81 1.8×
Bellville Medical Center Bellville, TX $10,880 $10,880 $5,946.81 1.8×
El Campo Memorial Hospital El Campo, TX $10,880 $10,880 $5,946.81 1.8×
Palacios Community Medical Center Palacios, TX $10,880 $10,880 $5,946.81 1.8×
Mercy Hospital St. Louis St. Louis, MO $11,686.50 $17,979.23 $5,929.39 2.0×
East Georgia Regional Medical Center Statesboro, GA $11,918.31 $44,141.90 $5,271.84 2.3×
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City, OK $12,038.95 $21,889 $5,693.51 2.1×
Duncan Regional Hospital, Inc Duncan, OK $12,060.84 $5,693.51 2.1×
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×
Glen Rose Medical Center Glen Rose, TX $17,972 $17,972 $5,946.81 3.0×
Ochsner Medical Center - New Orleans New Orleans, LA $19,115.52 $86,888.74 $5,556.71 3.4×
UAB Hospital Birmingham, AL $8,159 $5,414.82
Oklahoma Surgical Hospital, LLC Tulsa, OK $14,422.50 $5,693.51
National Park Medical Center Hot Springs, AR $53,977.52 $5,661.58

"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.