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, requiring bone grafts (includes obtaining autografts) (eg, ungrafted bilateral alveolar cleft or multiple osteoto
Jourdanton, TX
See all hospitals reporting CPT 21147 →Price type
Methodist Hospital Atascosa’s median price of $7.0k is 11% above the median hospital's median price ($6.3k), higher than 60% of the 1,382 hospitals reporting CPT 21147. 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, 23 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 | First Health chip per diem · outpatient | $365 | $365 | — | — | — | $365 – $365 |
| 2 | First Health chipperinate per diem · outpatient | $365 | $365 | — | — | — | $365 – $365 |
| 3 | First Health mcdstar per diem · outpatient | $365 | $365 | — | — | — | $365 – $365 |
| 4 | Aetna qhphix case rate · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 5 | Aetna narrownetwork case rate · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 6 | Aetna newbusinessrates case rate · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 7 | Aetna commercialbasenetwork case rate · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 8 | Aetna oon case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 9 | Cigna newbusinessnetwork case rate · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 10 | Cigna hmo case rate · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 11 | Cigna openaccessplus case rate · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 12 | UnitedHealthcare smallgroup case rate · outpatient | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 13 | Cigna ppo case rate · outpatient | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 14 | UnitedHealthcare charter case rate · outpatient | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 15 | UnitedHealthcare nexusaco case rate · outpatient | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 16 | UnitedHealthcare allpayerappendix case rate · outpatient | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 17 | Healthcare Highways narrownetwork case rate · outpatient | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 18 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $12.2k | $12.2k | — | — | — | $12.2k – $12.2k |
| 19 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $14.1k | $14.1k | — | — | — | $14.1k – $14.1k |
| 20 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $16.6k | $16.6k | — | — | — | $16.6k – $16.6k |
| 21 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $16.6k | $16.6k | — | — | — | $16.6k – $16.6k |
| 22 | Blue Cross Blue Shield healthselectopenaccess(eposoa) fee schedule · outpatient | $18.2k | $18.2k | — | — | — | $18.2k – $18.2k |
| 23 | Blue Cross Blue Shield ppo fee schedule · outpatient | $19.7k | $19.7k | — | — | — | $19.7k – $19.7k |
Last updated: May 1, 2026
See Midface reconstruction with Le Fort I bone cuts in three or more pieces, with bone grafting pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.