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
Kettering, OH
See all hospitals reporting CPT 21047 →Price type
Kettering Medical Center ’s median price of $9.0k is 51% above the median hospital's median price ($6.0k), higher than 86% 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: 7 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medical Mutual new buisness other commercial plan fee schedule · outpatient | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 2 | Aetna medicare managed care plan fee schedule · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 3 | Molina medicare managed care plan fee schedule · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 4 | Medical Mutual supermed ppo fee schedule · outpatient | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 5 | Aetna all commercial plans fee schedule · outpatient | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 6 | Aetna new business/oh ky preferred other commercial plan fee schedule · outpatient | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 7 | Blue Cross Blue Shield anthem pathway hmox exchange fee schedule · outpatient | $8.7k | $8.7k | — | — | — | $8.7k – $8.7k |
| 8 | Caresource marketplace exchange fee schedule · outpatient | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
| 9 | UnitedHealthcare exchange fee schedule · outpatient | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 10 | Cigna all commercial plans fee schedule · outpatient | $11.1k | $11.1k | — | — | — | $11.1k – $11.1k |
| 11 | Molina exchange fee schedule · outpatient | $12.1k | $12.1k | — | — | — | $12.1k – $12.1k |
| 12 | UnitedHealthcare all commercial plans fee schedule · outpatient | $13.5k | $13.5k | — | — | — | $13.5k – $13.5k |
| 13 | UnitedHealthcare employee fee schedule · outpatient | $13.5k | $13.5k | — | — | — | $13.5k – $13.5k |
| 14 | Blue Cross Blue Shield anthem - blue access/blue preferred hmo/ppo fee schedule · outpatient | $20.1k | $20.1k | — | — | — | $20.1k – $20.1k |
Last updated: Apr 1, 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.