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
PR IMPRESS&CUST ORAL SURG SPLINT
Low
$2
Average
$1.4k
Median
$601
High
$12.8k
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Prices here combine facility and professional fees. See them separately →Experimental
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. 1230 hospitals; the 90th percentile is 15.1× 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 | Mayo Clinic Rochester, MN | $696 | $659 | $327 | 50% | 22–220 | $284 – $1.5k |
| 2 | The University of Texas Medical Branch Galveston, TX | $309 | $860 | $2.0k | 229% | 5–50 | $203 – $12.5k |
| 3 | Boston Medical Center Boston, MA | $236 | $3.1k | $3.6k | 115% | 3–30 | $206 – $8.0k |
| 4 | Parkland Health Dallas, TX | $3.2k | $6.5k | $4.9k | 75% | 1–10 | $97 – $14.9k |
| 5 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $308 | $727 | $1.1k | 149% | — | $228 – $4.1k |
| 6 | Beth Israel Deaconess Hospital - Needham Needham, MA | $496 | $496 | $99 | 20% | — | $397 – $596 |
| 7 | Ingalls Memorial Hospital Harvey, IL | $279 | $835 | $805 | 96% | — | $254 – $2.0k |
| 8 | Fairview Health Services Edina, MN | $452 | $754 | $707 | 94% | — | $199 – $3.1k |
| 9 | Hca Florida West Hospital PENSACOLA, FL | $7.8k | $7.8k | $1.2k | 15% | — | $6.5k – $9.3k |
| 10 | Mayo Regional Hospital Dover Foxcroft, ME | $632 | $728 | $315 | 43% | — | $362 – $1.3k |
Ask Claude or any MCP client for CPT 21085 pricing at a specific hospital — see how to connect.