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
RECONST LWR JAW W/O FIXATION
Low
$1.5k
Average
$6.1k
Median
$5.9k
High
$16.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 4.1× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +21 other terms | 434 | $6.3k | $7.6k | $5.6k | 74% | — | $79 – $53.3k |
| 2 | UnitedHealthcare case rate · outpatient · +22 other terms | 431 | $9.3k | $9.1k | $4.7k | 51% | — | $1 – $36.5k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +18 other terms | 327 | $8.4k | $10.1k | $5.2k | 52% | — | $1 – $42.9k |
| 4 | Humana fee schedule · outpatient · +18 other terms | 309 | $5.9k | $5.6k | $2.1k | 37% | — | $1.1k – $17.1k |
| 5 | Cigna case rate · outpatient · +19 other terms | 221 | $6.8k | $11.9k | $8.4k | 71% | — | $1 – $40.7k |
| 6 | WellCare fee schedule · outpatient · +9 other terms | 156 | $6.0k | $6.3k | $2.1k | 33% | — | $224 – $13.9k |
| 7 | Molina fee schedule · outpatient · +12 other terms | 142 | $5.9k | $6.3k | $3.3k | 53% | — | $177 – $13.7k |
| 8 | Oscar case rate · outpatient · +12 other terms | 130 | $9.4k | $8.9k | $3.1k | 34% | — | $3.5k – $17.8k |
| 9 | Anthem fee schedule · outpatient · +17 other terms | 122 | $5.8k | $6.1k | $7.0k | 115% | — | $1.1k – $43.3k |
| 10 | Kaiser fee schedule · outpatient · +8 other terms | 94 | $7.5k | $9.4k | $7.3k | 78% | — | $1.1k – $42.0k |
| 11 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $6.4k | $7.0k | $1.1k | 16% | — | $3.4k – $8.6k |
| 12 | Ambetter fee schedule · outpatient · +6 other terms | 68 | $10.3k | $8.8k | $4.2k | 48% | — | $1.7k – $18.0k |
| 13 | Devoted fee schedule · outpatient · +6 other terms | 68 | $6.0k | $5.5k | $1.5k | 28% | — | $1.3k – $6.7k |
| 14 | Caresource fee schedule · outpatient · +10 other terms | 51 | $5.2k | $4.8k | $2.3k | 47% | — | $3.1k – $10.1k |
| 15 | Superior Healthplan case rate · outpatient · +3 other terms | 38 | $948 | $1.2k | $1.4k | 116% | — | $929 – $8.9k |
| 16 | Optum fee schedule · outpatient · +9 other terms | 35 | $5.7k | $6.7k | $5.1k | 76% | — | $1.3k – $21.9k |
| 17 | Bcbs Tx fee schedule · outpatient · +2 other terms | 32 | $7.2k | $7.5k | $3.0k | 41% | — | $3.8k – $20.1k |
| 18 | Clover fee schedule · outpatient · +6 other terms | 31 | $6.5k | $6.3k | $402 | 6% | — | $5.3k – $7.0k |
| 19 | Medica case rate · outpatient · +8 other terms | 28 | $4.0k | $5.0k | $2.2k | 45% | — | $1.6k – $10.6k |
| 20 | Tricare fee schedule · outpatient · +10 other terms | 27 | $5.4k | $11.9k | $16.4k | 137% | — | $3.8k – $50k |
| 21 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $9.9k | $9.7k | $2.0k | 21% | — | $3.3k – $13.4k |
| 22 | Medicare fee schedule · outpatient · +8 other terms | 24 | $1.3k | $2.2k | $1.9k | 83% | — | $1.2k – $5.9k |
| 23 | MultiPlan fee schedule · outpatient · +11 other terms | 22 | $9.4k | $9.3k | $530 | 6% | — | $5.6k – $9.4k |
| 24 | Regence professional · fee schedule · outpatient · +7 other terms | 20 | $553 | $604 | $471 | 78% | — | $208 – $2.7k |
| 25 | First Health fee schedule · outpatient · +15 other terms | 19 | $6.3k | $8.5k | $3.9k | 45% | — | $1.3k – $13.8k |
← Hospitals reporting CPT 21195 · Snapshot 20261113T090226Z-3ce6c0b8