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 CLSD TX MANDIBULAR FRACTURE W/ INTERDENTAL FIX
Low
$1.2k
Average
$5.8k
Median
$5.6k
High
$15.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
66 payers; the 90th percentile is 3.0× 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 · +34 other terms | 532 | $5.8k | $6.2k | $7.1k | 115% | 1–10 | $1 – $173.8k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +30 other terms | 369 | $7.6k | $9.3k | $5.6k | 60% | 1–10 | $1 – $42.9k |
| 3 | Amerihealth Caritas case rate · outpatient · +11 other terms | 33 | $567 | $7.4k | $6.6k | 89% | 1–10 | $536 – $16.0k |
| 4 | Aetna fee schedule · outpatient · +33 other terms | 466 | $5.9k | $6.4k | $4.7k | 73% | — | $1 – $40.5k |
| 5 | Humana fee schedule · outpatient · +28 other terms | 357 | $5.7k | $4.9k | $2.2k | 45% | — | $1 – $17.1k |
| 6 | Cigna case rate · outpatient · +28 other terms | 320 | $6.4k | $7.2k | $5.6k | 77% | — | $1 – $40.7k |
| 7 | Molina fee schedule · outpatient · +24 other terms | 232 | $4.2k | $3.6k | $2.9k | 80% | — | $1 – $13.7k |
| 8 | WellCare fee schedule · outpatient · +17 other terms | 168 | $6.0k | $6.1k | $2.1k | 35% | — | $661 – $13.9k |
| 9 | Oscar case rate · outpatient · +19 other terms | 137 | $9.2k | $8.7k | $3.1k | 36% | — | $3.5k – $17.8k |
| 10 | Anthem fee schedule · outpatient · +24 other terms | 133 | $5.4k | $5.4k | $6.9k | 130% | — | $387 – $43.3k |
| 11 | Kaiser fee schedule · outpatient · +21 other terms | 100 | $7.5k | $8.7k | $7.4k | 85% | — | $15 – $42.0k |
| 12 | Ambetter fee schedule · outpatient · +16 other terms | 80 | $9.9k | $8.5k | $4.4k | 52% | — | $1.3k – $19.3k |
| 13 | Healthcare Highways case rate · outpatient · +3 other terms | 76 | $6.4k | $7.0k | $1.2k | 17% | — | $2.0k – $8.6k |
| 14 | Aetna Better Health fee schedule · outpatient · +16 other terms | 71 | $2.5k | $2.4k | $684 | 28% | — | $561 – $5.5k |
| 15 | Devoted fee schedule · outpatient · +10 other terms | 69 | $6.0k | $5.5k | $1.6k | 30% | — | $905 – $6.7k |
| 16 | Caresource fee schedule · outpatient · +14 other terms | 54 | $4.4k | $3.8k | $2.9k | 75% | — | $1 – $10.1k |
| 17 | Tricare fee schedule · outpatient · +15 other terms | 42 | $5.7k | $5.5k | $1.5k | 27% | — | $950 – $7.6k |
| 18 | Optum fee schedule · outpatient · +22 other terms | 41 | $5.4k | $6.0k | $5.1k | 86% | — | $905 – $21.9k |
| 19 | Superior Healthplan case rate · outpatient · +5 other terms | 38 | $948 | $1.2k | $1.4k | 116% | — | $929 – $8.9k |
| 20 | MultiPlan fee schedule · outpatient · +22 other terms | 35 | $7.7k | $9.0k | $1.3k | 15% | — | $1.2k – $10.2k |
| 21 | Clover fee schedule · outpatient · +9 other terms | 32 | $6.5k | $6.3k | $422 | 7% | — | $5.3k – $7.1k |
| 22 | Bcbs Tx fee schedule · outpatient · +3 other terms | 30 | $7.2k | $7.0k | $3.4k | 49% | — | $2.0k – $20.1k |
| 23 | Cigna Healthspring fee schedule · outpatient · +7 other terms | 29 | $2.1k | $4.2k | $1.9k | 46% | — | $2.1k – $6.2k |
| 24 | Medica case rate · outpatient · +18 other terms | 28 | $4.0k | $5.0k | $2.2k | 45% | — | $1.6k – $10.6k |
| 25 | First Health fee schedule · outpatient · +20 other terms | 27 | $6.2k | $5.0k | $3.5k | 70% | — | $1.0k – $12.1k |
← Hospitals reporting CPT 21453 · Snapshot 20261112T181611Z-3fa9fb76