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
EXCISE LWR JAW CYST W/REPAIR
Glendale, CA
See all hospitals reporting CPT 21047 →Price type
Dignity Community Care’s median price of $6.3k is 5% above the median hospital's median price ($6.0k), higher than 58% of the 1,496 hospitals reporting CPT 21047. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 11 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 | Anthem medicaid|all plans fee schedule · outpatient | $748 | $748 | — | — | — | $748 – $748 |
| 2 | Molina medicaid|all plans fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 3 | Kaiser medicaid|< 21 fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 4 | Kaiser medicaid|> 21 fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 5 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 6 | Blue Cross Blue Shield commercial|all other plans case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 7 | Humana commercial|all plans fee schedule · outpatient | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 8 | UnitedHealthcare medicare|all plans case rate · outpatient | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 9 | Anthem medicare|alhambra senior fee schedule · outpatient | $8.6k | $8.6k | — | — | — | $8.6k – $8.6k |
| 10 | Anthem commercial|alhambra fee schedule · outpatient | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 11 | Anthem commercial|hcla fee schedule · outpatient | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
Last updated: Feb 28, 2026
See Surgical removal of a noncancerous jaw tumor or cyst with partial jawbone removal pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.