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
REVISION OF JAW MUSCLE/BONE
Northridge, CA
See all hospitals reporting CPT 21295 →Price type
Dignity Community Care’s median price of $1.9k is 10% above the median hospital's median price ($1.7k), higher than 57% of the 1,405 hospitals reporting CPT 21295. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 21 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 | Kaiser medicaid|< 21 fee schedule · outpatient | $265 | $265 | — | — | — | $265 – $265 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $265 | $265 | — | — | — | $265 – $265 |
| 3 | Anthem medicaid|< 21 fee schedule · outpatient | $441 | $441 | — | — | — | $441 – $441 |
| 4 | Anthem medicaid|> 21 fee schedule · outpatient | $441 | $441 | — | — | — | $441 – $441 |
| 5 | Molina medicaid|< 21 fee schedule · outpatient | $585 | $585 | — | — | — | $585 – $585 |
| 6 | Molina medicaid|> 21 fee schedule · outpatient | $585 | $585 | — | — | — | $585 – $585 |
| 7 | Aetna medicare|all plans case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 8 | Anthem medicare|all plans case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 9 | Blue Cross Blue Shield medicare|all other plans case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 10 | First Health commercial|all plans case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 11 | Humana commercial|all plans case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 12 | Humana medicare|all plans case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 13 | Kaiser medicare|all plans fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 14 | Molina medicare|all plans case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 15 | UnitedHealthcare medicare|all plans case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 16 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 17 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 18 | Blue Cross Blue Shield commercial|all other plans case rate · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 19 | Anthem commercial|vivity case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 20 | Anthem commercial|all other plans case rate · outpatient | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 21 | Anthem commercial|mcs case rate · outpatient | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
Last updated: Feb 28, 2026
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