Impres&prep oral surg splint cost at US hospitals
IMPRES&PREP ORAL SURG SPLINT · CPT 21085
$253.79
lowest cash price
$1,751.20
national median
$6,839.00
highest cash price
104
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $253.79–$6,839.00 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($282.47) → Sep 1, 2026 ($274.80)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | not published by hospital | not published by hospital | not published by hospital |
| Arizona | 9 | not published by hospital | not published by hospital | not published by hospital |
| California | 70 | $2,536.80 | $2,536.80 | $2,536.80 |
| Colorado | 13 | not published by hospital | not published by hospital | not published by hospital |
| Florida | 57 | $685.10 | $704.60 | $2,337.40 |
| Georgia | 23 | not published by hospital | not published by hospital | not published by hospital |
| Hawaii | 1 | not published by hospital | not published by hospital | not published by hospital |
| Illinois | 29 | $1,751.20 | $1,751.20 | $1,751.20 |
| Indiana | 25 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 14 | $1,751.20 | $1,751.20 | $1,751.20 |
| Kansas | 10 | 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 | 6 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Michigan | 24 | $622.16 | $622.16 | $622.16 |
| Minnesota | 10 | not published by hospital | not published by hospital | not published by hospital |
| Missouri | 14 | not published by hospital | not published by hospital | not published by hospital |
| Montana | 2 | not published by hospital | not published by hospital | not published by hospital |
| Nebraska | 8 | not published by hospital | not published by hospital | not published by hospital |
| Nevada | 3 | not published by hospital | not published by hospital | not published by hospital |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 21 | $253.79 | $3,986.00 | $6,839.00 |
| New Mexico | 3 | not published by hospital | not published by hospital | not published by hospital |
| New York | 16 | $274.80 | $274.80 | $6,685.00 |
| North Carolina | 13 | not published by hospital | not published by hospital | not published by hospital |
| North Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 36 | $2,337.40 | $2,337.40 | $2,337.40 |
| Oklahoma | 9 | not published by hospital | not published by hospital | not published by hospital |
| Oregon | 8 | $3,115.50 | $3,115.50 | $3,115.50 |
| Pennsylvania | 2 | $306.00 | $306.00 | $306.00 |
| South Carolina | 9 | $3,701.00 | $3,701.00 | $3,701.00 |
| South Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Tennessee | 15 | not published by hospital | not published by hospital | not published by hospital |
| Texas | 96 | $1,432.65 | $1,736.03 | $1,736.03 |
| Virginia | 10 | not published by hospital | not published by hospital | not published by hospital |
| Washington | 30 | $531.52 | $578.69 | $813.85 |
| West Virginia | 5 | $298.00 | $326.00 | $404.00 |
| Wisconsin | 17 | $3,021.60 | $3,021.60 | $3,021.60 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil, IN | not published | $113.24 – $728.58 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | not published | $124.05 – $728.58 |
| Henry Ford River District Hospital | China Township, MI | not published | $216.14 – $850.37 |
| St Elias Specialty Hospital | Anchorage, AK | not published | $157.42 – $425.21 |
| Henry Ford Genesys Hospital | Grand Blanc Twp, MI | not published | $135.18 – $1,265.25 |
| Covenant Medical Center | Lubbock, TX | not published | $157.42 – $425.21 |
| Arizona General Hospital Mesa | Mesa, AZ | not published | $247.50 – $254.93 |
| Henry Ford Rochester Hospital | Rochester, MI | not published | $122.86 – $432.29 |
| Henry Ford St John Hospital | Detroit, MI | not published | $216.14 – $850.37 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita, KS | not published | $214.76 – $601.33 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | not published | $236.00 – $428.37 |
| MaineHealth - Memorial Hospital | North Conway, NH | not published | $224.75 – $1,311.91 |
| Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) | Vernon, IN | not published | $124.05 – $728.58 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | not published | $236.00 – $1,342.14 |
| Dublin Methodist Hospital | Dublin, OH | not published | $228.38 – $3,714.00 |
| Corewell Health Gerber | Fremont, MI | not published | $956.13 – $956.13 |
| Corewell Health Big Rapids | Big Rapids, MI | not published | $236.00 – $956.13 |
| Banner University Medical Center Phoenix | Phoenix, AZ | not published | $153.41 – $949.44 |
| SSM Health St. Mary's Hospital - Janesville | Janesville, WI | not published | $178.93 – $4,074.00 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo, WI | not published | $172.55 – $4,401.00 |
| SSM Health St. Mary's Hospital - Centralia | Centralia, IL | not published | $253.81 – $266.50 |
| Franklin Memorial Hospital | Farmington, ME | not published | $206.14 – $1,219.78 |
| Wellstar MCG Health | Augusta, GA | not published | $207.56 – $693.00 |
| Wellstar Kennestone Hospital | Marietta, GA | not published | $240.57 – $2,665.00 |
| Wellstar Douglas Hospital | Douglasville, GA | not published | $238.41 – $2,665.00 |
| Wellstar Cobb Hospital | Austell, GA | not published | $240.57 – $2,665.00 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | not published | $232.22 – $4,165.33 |
| Adventhealth Rollins Brook | Lampasas, TX | not published | $128.61 – $4,826.69 |
| CHRISTUS Children's Hospital | San Antonio, TX | not published | $87.58 – $1,306.00 |
| St. John's Camarillo Hospital | Camarillo, CA | not published | $295.06 – $521.66 |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | not published | $242.07 – $363.11 |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | not published | $222.29 – $311.20 |
| CHRISTUS St. Vincent Regional Medical Center | Santa Fe, NM | not published | $245.05 – $1,158.57 |
| CHRISTUS St. Francis Cabrini Hospital | Alexandria, LA | not published | $216.47 – $1,340.75 |
| CHRISTUS Shreveport-Bossier Health System-Highland | Shreveport, LA | not published | $215.11 – $894.91 |
| CHRISTUS Ochsner St. Patrick Hospital | Lake Charles, LA | not published | $210.29 – $1,043.58 |
| CHRISTUS Ochsner Lake Area Hospital | Lake Charles, LA | not published | $206.85 – $1,027.53 |
| CHRISTUS Louisiana Surgical Hospital | Alexandria, LA | not published | $152.82 – $519.09 |
| CHRISTUS Coushatta Health Care Center | Coushatta, LA | not published | $1,220.13 – $1,220.13 |
| Central Medical Center | Seattle, WA | not published | not published |
| Westside Medical Center | HILLSBORO, OR | not published | not published |
| Sunnyside Medical Center | CLACKAMAS, OR | not published | not published |
| Providence St Peter Hospital | Olympia, WA | not published | $231.54 – $3,484.00 |
| Providence Holy Family Hospital | Spokane, WA | not published | $263.93 – $11,241.00 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | not published | $253.81 – $411.18 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | not published | $540.00 – $4,510.00 |
| AdventHealth Parker | Parker, CO | not published | $244.85 – $3,281.00 |
| Adventhealth Manchester | Manchester, KY | not published | $222.23 – $222.23 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | not published | $74.08 – $1,000.00 |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | not published | $269.73 – $7,246.00 |