Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Exc B9 Tum/Cst Mndbl Xtr-Oral Osteot&Prtl Mndb|LEFT SIDE|ASSISTANT SURGEON (WHEN QUALIFIED RESIDENT SURGEON NOT AVAILABLE)
Prices here combine facility and professional fees. See them separately →Experimental
Low
$490
Average
$6.3k
Median
$6.1k
High
$25.2k
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 1271 hospitals; the 90th percentile is 6.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Seattle Children's Hospital Seattle, WA | $778 | $1.6k | $1.2k | 71% | 4–40 | $141 – $3.2k |
| 2 | Boston Medical Center Boston, MA | $4.0k | $3.8k | $800 | 21% | 2–20 | $1.8k – $5.1k |
| 3 | Methodist University Hospital MEMPHIS, TN | $4.3k | $3.4k | $1.4k | 41% | 2–20 | $363 – $5.4k |
| 4 | The University of Texas Medical Branch Galveston, TX | $824 | $2.9k | $3.5k | 123% | 1–10 | $535 – $12.5k |
| 5 | University of Virginia Medical Center Charlottesville, VA | $1.8k | $2.7k | $1.9k | 68% | 1–10 | $1.1k – $6.1k |
| 6 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $5.8k | $6.1k | $2.9k | 48% | — | $1.3k – $11.2k |
| 7 | Beth Israel Deaconess Hospital - Needham Needham, MA | $8.5k | $9.0k | $1.9k | 21% | — | $6.9k – $11.5k |
| 8 | Ingalls Memorial Hospital Harvey, IL | $5.7k | $5.3k | $3.3k | 63% | — | $1.3k – $10.9k |
| 9 | USA Health University Hospital Mobile, AL | $4.3k | $4.4k | $188 | 4% | — | $4.3k – $4.8k |
| 10 | Fairview Health Services Edina, MN | $4.1k | $4.4k | $3.1k | 72% | — | $832 – $13.5k |
Ask Claude or any MCP client for CPT 21047 pricing at a specific hospital — see how to connect.