Cltx palatal/max fx wire fix cost at US hospitals

CLTX PALATAL/MAX FX WIRE FIX · CPT 21421

$1,423.20

lowest cash price

$4,377.24

national median

$33,427.05

highest cash price

223

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $1,423.20–$33,427.05 — the variation is the story.

Cheapest published cash price

$1,423.20

CHI Health Mercy Corning — Corning, IA

Most expensive published cash price

$33,427.05

Adventhealth Carrollwood — Tampa, FL

Median cash price over time

Sep 1, 2025 ($3,723.23) → Sep 1, 2026 ($3,837.72)

By state

State Hospitals Lowest cash Median Highest
Alaska 5 $6,380.40 $6,380.40 $7,337.46
Arizona 7 not published by hospital not published by hospital not published by hospital
California 72 $1,600.55 $11,776.80 $11,776.80
Colorado 13 $8,292.12 $8,292.12 $8,292.12
Florida 54 $10,326.00 $12,121.20 $33,427.05
Georgia 24 $3,610.62 $3,610.62 $3,610.62
Hawaii 1 not published by hospital not published by hospital not published by hospital
Illinois 25 $1,664.00 $1,664.00 $1,664.00
Indiana 25 not published by hospital not published by hospital not published by hospital
Iowa 16 $1,423.20 $1,664.00 $3,613.68
Kansas 8 not published by hospital not published by hospital not published by hospital
Kentucky 1 not published by hospital not published by hospital not published by hospital
Louisiana 2 $1,600.56 $1,600.56 $1,600.56
Maine 7 $1,970.55 $1,970.55 $4,698.35
Michigan 24 $4,558.89 $11,523.00 $11,523.00
Minnesota 10 $5,281.60 $5,281.60 $5,281.60
Missouri 15 $1,473.55 $1,473.55 $1,473.55
Montana 2 $4,101.60 $4,101.60 $4,101.60
Nebraska 12 $2,490.60 $3,613.68 $3,613.68
Nevada 3 not published by hospital not published by hospital not published by hospital
New Hampshire 1 $5,429.35 $5,429.35 $5,429.35
New Jersey 21 $3,544.29 $3,986.00 $6,839.00
New Mexico 3 $4,099.20 $4,099.20 $4,099.20
New York 16 $3,837.72 $3,837.72 $5,851.00
North Carolina 14 not published by hospital not published by hospital not published by hospital
North Dakota 2 $5,743.20 $5,743.20 $5,743.20
Ohio 40 $1,565.20 $3,794.25 $9,696.70
Oklahoma 9 $8,221.40 $8,221.40 $8,221.40
Oregon 10 $6,422.25 $6,422.25 $7,055.25
Pennsylvania 3 $4,226.50 $4,706.40 $6,093.60
South Carolina 9 $5,919.50 $8,036.50 $8,036.50
South Dakota 2 not published by hospital not published by hospital not published by hospital
Tennessee 16 not published by hospital not published by hospital not published by hospital
Texas 104 $3,783.78 $4,377.24 $16,435.01
Virginia 16 $4,902.50 $4,902.50 $11,791.80
Washington 32 $1,497.21 $5,476.80 $12,922.70
West Virginia 5 $3,805.50 $3,827.50 $5,480.50
Wisconsin 17 $2,764.80 $2,764.80 $2,764.80

All hospitals

Hospital Location Cash price Negotiated range
Adventhealth Murray Po Box 1406, GA not published $2,535.00 – $6,118.21
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton, WI not published $579.70 – $2,460.34
Ascension Seton Northwest (Ascension Seton) Austin, TX not published $590.01 – $3,822.10
Henry Ford Providence Novi Hospital Novi, MI not published $910.94 – $3,932.25
Sequoia Hospital Redwood City, CA not published $338.78 – $14,886.15
Henry J. Carter Specialty Hospital New York, NY not published not published
Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) Williamsport, IN not published $125.06 – $1,291.25
Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) Elwood, IN not published $150.25 – $1,291.25
SSM Health Waupun Memorial Hospital Waupun, WI not published $3,388.00 – $7,791.00
St. Elizabeth Community Hospital Red Bluff, CA not published $605.58 – $4,120.64
Riverside Methodist Hospital Columbus, OH not published $3,196.84 – $9,206.00
Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) Anderson, IN not published $125.06 – $1,291.25
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac, WI not published $2,459.51 – $7,791.00
Methodist Hospital of Sacramento Sacramento, CA not published $338.78 – $4,261.72
Wamego Health Center (Wamego Hospital Association) Wamego, KS not published $385.28 – $3,278.89
Woodland Memorial Hospital Woodland, CA not published $338.78 – $4,261.72
Mercy Hospital of Folsom Folsom, CA not published $338.78 – $4,261.72
Mercy Gilbert Medical Center Gilbert, AZ not published $572.90 – $3,456.53
Ascension Via Christi Rehabilitation Hospital, Inc. Wichita, KS not published $2,310.06 – $2,310.06
Ascension St. Vincent Naab Surgery Center Indianapolis, IN not published $125.06 – $1,291.25
Corewell Health Pennock Hastings, MI not published $4,944.36 – $4,944.36
LAFAYETTE REGIONAL HEALTH CENTER Lexington, MO not published $1,042.99 – $4,353.82
Advocate Trinity Hospital Chicago, IL not published $4,901.93 – $12,362.00
Mid Coast Hospital Brunswick, ME not published $525.04 – $1,243.81
Spring Harbor Hospital Westbrook, ME not published $533.28 – $1,243.81
Advocate South Suburban Hospital Hazel Crest, IL not published $4,901.93 – $12,362.00
Advocate Sherman Hospital Elgin, IL not published $4,901.93 – $6,490.83
Advocate Childrens Hospital - Park Ridge Park Ridge, IL not published $4,901.93 – $12,362.00
Advocate Illinois Masonic Medical Center Chicago, IL not published $4,901.93 – $12,362.00
SSM Health St. Joseph Hospital- Wentzville Wentzville, MO not published $731.38 – $3,886.00
Sanford USD Medical Center Sioux Falls, SD not published $544.25 – $3,374.38
Swedish Medical Center Cherry Hill Seattle, WA not published $3,839.27 – $12,284.47
SSM Health Saint Louis University Hospital Saint Louis, MO not published $839.79 – $3,886.00
SSM Health DePaul Hospital - St. Louis Bridgeton, MO not published $731.38 – $3,886.00
Adventhealth Shawnee Mission Shawnee Mission, KS not published $3,138.92 – $9,102.85
Mark Twain Medical Center San Andreas, CA not published $338.78 – $338.78
Arroyo Grande Hospital Santa Maria, CA not published $338.78 – $4,120.64
San Martin Hospital Las Vegas, NV not published $623.73 – $3,655.87
Arizona General Hospital Laveen Phoenix, AZ not published $572.90 – $3,560.23
Siena Hospital Henderson, NV not published $623.73 – $3,655.87
Providence Alaska Medical Center Anchorage, AK not published $2,236.00 – $24,380.00
Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) Salem, IN not published $150.25 – $1,291.25
Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) Indianapolis, IN not published $150.25 – $1,291.25
Ascension St. Vincent Carmel Ambulatory Surgery Center Carmel, IN not published $125.06 – $1,291.25
SSM Health St. Clare Hospital - Fenton Fenton, MO not published $731.38 – $3,886.00
Mansfield Hospital Mansfield, OH not published $3,165.74 – $3,292.37

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