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
PR OPEN TREATMENT PALATAL/MAXILLARY FRACTURE
Hilo, HI
See all hospitals reporting CPT 21422 →Price type
Hilo Benioff Medical Center’s median price of $650 is 89% below the median hospital's median price ($6.1k), higher than 8% 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, 6 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 | UnitedHealthcare medicare professional · fee schedule · both | $609 | $609 | — | — | — | $609 – $609 |
| 2 | UnitedHealthcare medicaid professional · fee schedule · both | $650 | $650 | — | — | — | $650 – $650 |
| 3 | Devoted medicare professional · fee schedule · both | $670 | $670 | — | — | — | $670 – $670 |
| 4 | Kaiser commercial professional · fee schedule · both | $731 | $731 | — | — | — | $731 – $731 |
| 5 | Kaiser medicaid professional · fee schedule · both | $731 | $731 | — | — | — | $731 – $731 |
| 6 | Kaiser medicare professional · fee schedule · both | $731 | $731 | — | — | — | $731 – $731 |
Last updated: Jun 15, 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.