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 of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft
SAN ANTONIO, TX
See all hospitals reporting CPT 21193 →Price type
Methodist Hospital’s median price of $6.1k is 1% below the median hospital's median price ($6.2k), higher than 48% of the 1,453 hospitals reporting CPT 21193. 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, 32 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 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 5 | Aetna narrownetwork case rate · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 6 | Aetna newbusinessrates case rate · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 7 | Aetna commercialbasenetwork case rate · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 8 | Aetna oon case rate · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 9 | Oscar broadnetworkhix case rate · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 10 | Oscar epo case rate · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 11 | Oscar pos case rate · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 12 | Oscar ppo case rate · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 13 | WellCare mcrhmo fee schedule · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 14 | WellCare mcrpos fee schedule · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 15 | WellCare mcrppo fee schedule · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 16 | WellCare mcrsnp fee schedule · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 17 | WellCare pffs fee schedule · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 18 | Cigna newbusinessnetwork case rate · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 19 | Healthcare Highways narrownetwork case rate · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 20 | Cigna hmo case rate · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 21 | Cigna openaccessplus case rate · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 22 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 23 | Cigna ppo case rate · outpatient | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 24 | UnitedHealthcare smallgroup case rate · outpatient | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 25 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $9.5k | $9.5k | — | — | — | $9.5k – $9.5k |
Last updated: May 1, 2026
See Lower jaw reconstruction without bone graft pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.