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 GRAFT
Arlington, TX
See all hospitals reporting CPT 21193 →Price type
AMH Cath Labs LLC’s median price of $6.4k is 3% above the median hospital's median price ($6.2k), higher than 54% of the 1,453 hospitals reporting CPT 21193. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 14 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield exchange case rate · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 2 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 3 | Humana medicare advantage case rate · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 4 | Humana medicare advantage ppo case rate · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 5 | Molina medicare advantage case rate · outpatient | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 6 | WellCare medicare advantage hmo case rate · outpatient | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 7 | WellCare medicare advantage mmp case rate · outpatient | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 8 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 9 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 10 | Blue Cross Blue Shield hmo case rate · outpatient | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 11 | Blue Cross Blue Shield ppo case rate · outpatient | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 12 | UnitedHealthcare all payer case rate · outpatient | $13.4k | $13.4k | — | — | — | $13.4k – $13.4k |
| 13 | UnitedHealthcare ppo case rate · outpatient | $17.1k | $17.1k | — | — | — | $17.1k – $17.1k |
| 14 | Blue Cross Blue Shield traditional case rate · outpatient | $40.5k | $40.5k | — | — | — | $40.5k – $40.5k |
Last updated: Apr 21, 2026
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