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
OPTX PALATAL/MAX FRACTURE
Austin, TX
See all hospitals reporting CPT 21422 →Price type
Ascension Seton’s median price of $689 is 89% below the median hospital's median price ($6.1k), higher than 9% of the 1,501 hospitals reporting CPT 21422. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 7 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $492 | $492 | — | — | — | $492 – $492 |
| 2 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $656 | $656 | — | — | — | $656 – $656 |
| 3 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $656 | $656 | — | — | — | $656 – $656 |
| 4 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $704 | $704 | — | — | — | $704 – $704 |
| 5 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $800 | $800 | — | — | — | $800 – $800 |
| 6 | Humana 206_humana hmo custom 20140201 other · outpatient | $969 | $969 | — | — | — | $969 – $969 |
| 7 | Oscar 4511_oscar health plan 20251001 other · both | $1k | $1k | — | — | — | $1k – $1k |
Last updated: Jan 1, 2026
See Surgical repair of upper jaw fracture pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.