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
Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, without bone graft
Plano, TX
See all hospitals reporting CPT 21143 →Price type
Medical City Plano’s median price of $19.6k is 215% above the median hospital's median price ($6.2k), higher than 99% of the 1,471 hospitals reporting CPT 21143. 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, 24 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 | Healthcare Highways narrownetwork case rate · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 2 | Blue Cross Blue Shield bluepremier fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 3 | Aetna qhphix case rate · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 4 | Aetna newbusiness case rate · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 5 | Aetna comm case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 6 | Aetna meritain case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 7 | Aetna oon case rate · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 8 | Oscar hix case rate · outpatient | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 9 | UnitedHealthcare smallgroup case rate · outpatient | $8.7k | $8.7k | — | — | — | $8.7k – $8.7k |
| 10 | UnitedHealthcare narrownetworkindivexchange case rate · outpatient | $10.0k | $10.0k | — | — | — | $10.0k – $10.0k |
| 11 | Humana comm fee schedule · outpatient | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 12 | UnitedHealthcare allpayerappendix case rate · outpatient | $14.4k | $14.4k | — | — | — | $14.4k – $14.4k |
| 13 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 14 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 15 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $20.5k | $20.5k | — | — | — | $20.5k – $20.5k |
| 16 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $21.1k | $21.1k | — | — | — | $21.1k – $21.1k |
| 17 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $21.1k | $21.1k | — | — | — | $21.1k – $21.1k |
| 18 | Blue Cross Blue Shield ppo fee schedule · outpatient | $21.5k | $21.5k | — | — | — | $21.5k – $21.5k |
| 19 | Cigna localplus case rate · outpatient | $21.8k | $21.8k | — | — | — | $21.8k – $21.8k |
| 20 | Cigna newbusiness case rate · outpatient | $21.8k | $21.8k | — | — | — | $21.8k – $21.8k |
| 21 | Cigna hmo case rate · outpatient | $24.4k | $24.4k | — | — | — | $24.4k – $24.4k |
| 22 | Cigna networkbenefit case rate · outpatient | $24.4k | $24.4k | — | — | — | $24.4k – $24.4k |
| 23 | Cigna openaccessplus case rate · outpatient | $24.4k | $24.4k | — | — | — | $24.4k – $24.4k |
| 24 | Cigna allother case rate · outpatient | $30.8k | $30.8k | — | — | — | $30.8k – $30.8k |
Last updated: Mar 1, 2026
See Midface reconstruction: upper jaw cut into three or more pieces pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.