CPT 21422
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 OPN TX PALATAL/MAXILLARY FX
Prices here combine facility and professional fees. See them separately →Experimental
Low
$385
Average
$8.3k
Median
$2.7k
High
$57.3k
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter below to change the chart. 128 hospitals; the 90th percentile is 23.6× 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.
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Reflects a negotiated percentage of total billed charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Mayo Clinic Rochester, MN | $5.0k | $5.0k | $176 | 4% | 1–10 | $2.4k – $5.8k |
| 2 | USA Health University Hospital Mobile, AL | $935 | $935 | — | — | — | $935 – $935 |
| 3 | St Joseph Regional Health Network Reading, PA | $20.0k | $21.7k | $6.3k | 29% | — | $9.9k – $30.8k |
| 4 | Deaconess Hospital, Inc Newburgh, IN | $1.9k | $1.8k | $561 | 32% | — | $974 – $2.4k |
| 5 | Children's Mercy Hospital Kansas City, MO | $1.4k | $1.4k | $197 | 14% | — | $1.1k – $1.6k |
| 6 | Northside Hospital, Inc. Lawrenceville, GA | $35k | $37.0k | $10.5k | 28% | — | $18.6k – $50k |
| 7 | Vanderbilt Bedford Hospital Shelbyville, TN | $1.7k | $1.7k | $267 | 15% | — | $801 – $2.1k |
| 8 | Vanderbilt University Medical Center Nashville, TN | $1.7k | $1.7k | $267 | 15% | — | $801 – $2.1k |
| 9 | Thedacare Regional Medical Center-Appleton Inc. Appleton, WI | $23.3k | $21.8k | $4.2k | 19% | — | $10.8k – $27.3k |
| 10 | St Luke's Magic Valley Regional Medical Center, LTD Twin Falls, ID | $12.4k | $12.1k | $1.6k | 14% | — | $10.1k – $14.7k |
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