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 |
|---|---|---|---|
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena, FL | not published | $6,838.50 – $6,982.47 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | not published | $74.08 – $1,000.00 |
| Ascension Calumet Hospital, Inc. | Chilton, WI | not published | $509.32 – $2,567.59 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan, KS | not published | $214.76 – $838.15 |
| Providence Centralia Hospital | Centralia, WA | not published | $274.27 – $1,191.29 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | not published | $227.80 – $731.00 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | not published | $235.93 – $2,277.00 |
| Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) | Boonville, IN | not published | $113.24 – $728.58 |
| Adventhealth South Overland Park | Overland Park, KS | not published | $224.24 – $3,245.00 |
| St. Mary Medical Center | Long Beach, CA | not published | $295.06 – $472.10 |
| California Hospital Medical Center | Los Angeles, CA | not published | $118.80 – $328.70 |
| Adventhealth Murray | Po Box 1406, GA | not published | $220.52 – $437.07 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | not published | $223.25 – $2,567.59 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | not published | $74.08 – $1,000.00 |
| Henry Ford Providence Novi Hospital | Novi, MI | not published | $131.96 – $1,166.16 |
| Sequoia Hospital | Redwood City, CA | not published | $340.55 – $1,065.92 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | not published | $224.08 – $403.34 |
| Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) | Williamsport, IN | not published | $113.24 – $728.58 |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood, IN | not published | $124.05 – $728.58 |
| SSM Health Waupun Memorial Hospital | Waupun, WI | not published | $1,887.00 – $2,654.00 |
| St. Elizabeth Community Hospital | Red Bluff, CA | not published | $295.06 – $295.06 |
| Riverside Methodist Hospital | Columbus, OH | not published | $228.38 – $3,714.00 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson, IN | not published | $113.24 – $728.58 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | not published | $175.70 – $2,334.00 |
| Methodist Hospital of Sacramento | Sacramento, CA | not published | $287.77 – $497.60 |
| Wamego Health Center (Wamego Hospital Association) | Wamego, KS | not published | $434.93 – $838.15 |
| Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) | Winchester, IN | not published | $113.24 – $728.58 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson, TX | not published | $186.69 – $186.69 |
| Woodland Memorial Hospital | Woodland, CA | not published | $287.77 – $305.16 |
| Mercy Hospital of Folsom | Folsom, CA | not published | $287.77 – $497.60 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita, KS | not published | $214.76 – $2,243.50 |
| Mercy Gilbert Medical Center | Gilbert, AZ | not published | $247.50 – $253.69 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | not published | $113.24 – $728.58 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | not published | $224.08 – $403.34 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | not published | $241.98 – $435.56 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | not published | $224.08 – $403.34 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | not published | $224.08 – $403.34 |
| UPMC Mercy | Pittsburgh, PA | not published | $184.55 – $1,236.92 |
| University Hospitals Elyria Medical Center | Elyria, OH | not published | $224.08 – $403.34 |
| Corewell Health Pennock | Hastings, MI | not published | $956.13 – $956.13 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | not published | $304.63 – $4,776.00 |
| Advocate Trinity Hospital | Chicago, IL | not published | $351.00 – $6,291.00 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington, MO | not published | $901.29 – $910.48 |
| Mid Coast Hospital | Brunswick, ME | not published | $226.79 – $1,311.91 |
| Waldo County General Hospital | Belfast, ME | not published | $471.00 – $1,311.91 |
| Spring Harbor Hospital | Westbrook, ME | not published | $224.75 – $1,311.91 |
| Pen Bay Medical Center | Rockport, ME | not published | $224.75 – $1,311.91 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | not published | not published |
| Advocate South Suburban Hospital | Hazel Crest, IL | not published | $351.00 – $6,291.00 |
| Advocate Sherman Hospital | Elgin, IL | not published | $351.00 – $4,116.00 |