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
HC ER CLOSED TX MANDIBULAR/MAXILL FX
Low
$836
Average
$3.6k
Median
$3.4k
High
$8.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 3.3× 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 | UnitedHealthcare fee schedule · outpatient · +31 other terms | 507 | $3.2k | $3.6k | $4.3k | 118% | — | $1 – $95.3k |
| 2 | Aetna fee schedule · outpatient · +30 other terms | 446 | $3.6k | $4.4k | $3.6k | 83% | — | $1 – $37.3k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +27 other terms | 351 | $3.8k | $4.7k | $4.1k | 88% | — | $0 – $39.1k |
| 4 | Humana fee schedule · outpatient · +25 other terms | 334 | $3.2k | $2.4k | $1.6k | 64% | — | $1 – $12.8k |
| 5 | Cigna case rate · outpatient · +26 other terms | 298 | $6.4k | $7.2k | $5.7k | 79% | — | $1 – $40.7k |
| 6 | Molina fee schedule · outpatient · +24 other terms | 213 | $2.3k | $1.7k | $1.9k | 110% | — | $1 – $7.7k |
| 7 | WellCare fee schedule · outpatient · +14 other terms | 149 | $3.4k | $3.3k | $1.4k | 44% | — | $427 – $7.6k |
| 8 | Anthem fee schedule · outpatient · +24 other terms | 133 | $3.1k | $3.0k | $4.0k | 131% | — | $153 – $24.3k |
| 9 | Oscar case rate · outpatient · +17 other terms | 130 | $5.6k | $5.3k | $1.6k | 30% | — | $2.4k – $10.1k |
| 10 | Kaiser fee schedule · outpatient · +20 other terms | 97 | $4.1k | $4.9k | $3.9k | 80% | — | $153 – $22.4k |
| 11 | Ambetter facility · fee schedule · outpatient · +14 other terms | 75 | $5.9k | $5.6k | $1.5k | 27% | — | $961 – $7.8k |
| 12 | Healthcare Highways case rate · outpatient · +3 other terms | 67 | $4.5k | $4.2k | $920 | 22% | — | $3.0k – $5.5k |
| 13 | Aetna Better Health fee schedule · outpatient · +15 other terms | 65 | $592 | $666 | $461 | 69% | — | $363 – $3.0k |
| 14 | Devoted fee schedule · outpatient · +13 other terms | 63 | $3.3k | $3.0k | $910 | 30% | — | $592 – $3.7k |
| 15 | MultiPlan fee schedule · outpatient · +20 other terms | 59 | $4.7k | $5.2k | $1.6k | 30% | — | $1 – $9.2k |
| 16 | Caresource fee schedule · outpatient · +14 other terms | 54 | $620 | $1.5k | $1.7k | 110% | — | $1 – $5.7k |
| 17 | Tricare fee schedule · outpatient · +14 other terms | 41 | $3.2k | $3.3k | $1.1k | 35% | — | $1.6k – $5.4k |
| 18 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $1.0k | $539 | 53% | — | $929 – $4.9k |
| 19 | Optum fee schedule · outpatient · +18 other terms | 37 | $3.0k | $3.6k | $2.9k | 79% | — | $592 – $12.2k |
| 20 | Clover fee schedule · outpatient · +9 other terms | 32 | $3.5k | $3.5k | $218 | 6% | — | $3.0k – $4.0k |
| 21 | Amerihealth Caritas case rate · outpatient · +10 other terms | 31 | $567 | $4.9k | $4.3k | 89% | — | $536 – $10.5k |
| 22 | Cigna Healthspring fee schedule · outpatient · +6 other terms | 28 | $492 | $1.9k | $1.4k | 74% | — | $492 – $3.4k |
| 23 | Medica case rate · outpatient · +18 other terms | 28 | $2.9k | $3.3k | $1.2k | 37% | — | $1.1k – $6.3k |
| 24 | First Health fee schedule · outpatient · +20 other terms | 27 | $3.5k | $3.4k | $3.4k | 101% | — | $469 – $10.2k |
| 25 | Regence professional · fee schedule · outpatient · +13 other terms | 26 | $410 | $940 | $581 | 62% | — | $270 – $2.2k |
← Hospitals reporting CPT 21440 · Snapshot 20261112T181611Z-3fa9fb76