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
TREAT MOUTH ROOF FRACTURE
Prices here combine facility and professional fees. See them separately →Experimental
Low
$100
Average
$7.1k
Median
$6.7k
High
$78.2k
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 1501 hospitals; the 90th percentile is 7.6× 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 | Northside Hospital, Inc. Lawrenceville, GA | $6.7k | $9.8k | $10.3k | 106% | 1–10 | $531 – $50k |
| 2 | Baptist Hospital Of Miami MIAMI, FL | $56.2k | $56.2k | — | — | 1–10 | $56.2k – $56.2k |
| 3 | Curators of the University of Missouri Columbia, MO | $5.7k | $6.0k | $945 | 16% | 1–10 | $4.1k – $8.1k |
| 4 | Mayo Clinic Rochester, MN | $5.0k | $4.8k | $1.2k | 25% | 1–10 | $232 – $7.9k |
| 5 | The University of Texas Medical Branch Galveston, TX | $1.1k | $3.2k | $3.6k | 112% | 1–10 | $288 – $12.5k |
| 6 | University of Virginia Medical Center Charlottesville, VA | $15.3k | $13.2k | $8.0k | 60% | 1–10 | $1.7k – $29.3k |
| 7 | Phoenix Children's Hospital Phoenix, AZ | $6.7k | $7.6k | $3.5k | 46% | 1–10 | $3.5k – $16.7k |
| 8 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $5.8k | $6.5k | $2.8k | 43% | — | $945 – $11.2k |
| 9 | University of Virginia Haymarket Medical Center Haymarket, VA | $6.1k | $8.7k | $5.3k | 61% | — | $2.4k – $17.1k |
| 10 | Beth Israel Deaconess Hospital - Needham Needham, MA | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
Ask Claude or any MCP client for CPT 21422 pricing at a specific hospital — see how to connect.