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
Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint
SAN ANTONIO, TX
See all hospitals reporting CPT 21431 →Price type
Methodist Hospital’s median price of $5.7k is 2% below the median hospital's median price ($5.8k), higher than 48% of the 1,341 hospitals reporting CPT 21431. 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 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 10 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 11 | Cigna newbusinessnetwork case rate · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 12 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 13 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 14 | Cigna hmo case rate · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 15 | Cigna openaccessplus case rate · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 16 | Blue Cross Blue Shield healthselectopenaccess(eposoa) fee schedule · outpatient | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 17 | Blue Cross Blue Shield ppo fee schedule · outpatient | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 18 | Cigna ppo case rate · outpatient | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 19 | UnitedHealthcare smallgroup case rate · outpatient | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 20 | UnitedHealthcare charter case rate · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 21 | UnitedHealthcare nexusaco case rate · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 22 | UnitedHealthcare allpayerappendix case rate · outpatient | $11.5k | $11.5k | — | — | — | $11.5k – $11.5k |
| 23 | Healthcare Highways narrownetwork case rate · outpatient | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
Last updated: May 1, 2026
See Facial bone fracture repair with wired dental splint pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.