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 |
|---|---|---|---|
| AdventHealth Avista | Louisville, CO | not published | $247.57 – $3,281.00 |
| Ascension St. Francis Hospital, Inc. | Milwaukee, WI | not published | $225.49 – $2,802.16 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | not published | $223.25 – $2,567.59 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | not published | $74.08 – $1,000.00 |
| Ascension Seton Cedar Park Hospital | Cedar Park, TX | not published | $74.08 – $1,000.00 |
| Mercy San Juan Medical Center | Carmichael, CA | not published | $287.77 – $497.60 |
| Glendale Memorial Hospital Health Center | Glendale, CA | not published | $295.06 – $368.82 |
| St Jude Medical Center | Fullerton, CA | not published | $258.93 – $5,605.00 |
| Providence Saint Joseph Medical Center | Burbank, CA | not published | $304.63 – $4,751.00 |
| lodi hospital | Lodi, OH | not published | $232.22 – $1,573.00 |
| hillcrest hospital | Mayfield Heights, OH | not published | $211.91 – $1,573.00 |
| Atrium Health Stanly | Albermarle, NC | not published | $225.28 – $232.59 |
| lutheran hospital | Cleveland, OH | not published | $215.28 – $1,573.00 |
| AdventHealth Porter | Denver, CO | not published | $244.85 – $3,281.00 |
| fairview hospital | Cleveland, OH | not published | $211.91 – $1,573.00 |
| euclid hospital | Euclid, OH | not published | $211.91 – $1,573.00 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | not published | $1,358.50 – $1,573.00 |
| avon hospital | Avon, OH | not published | $215.28 – $1,530.10 |
| Atrium Health Pineville | Charlotte, NC | not published | $225.28 – $276.08 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls, MN | not published | $243.83 – $243.83 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | not published | $220.61 – $243.83 |
| Sanford Fargo Medical Center | Fargo, ND | not published | $177.97 – $481.34 |
| Sanford Medical Center Bismarck | Bismarck, ND | not published | $220.61 – $481.34 |
| Atrium Health Mercy | Charlotte, NC | not published | $225.28 – $276.08 |
| Sanford Thief River Falls Medical Center | Thief River Falls, MN | not published | $243.83 – $243.83 |
| Sanford Tracy Hospital | Tracy, MN | not published | $243.83 – $243.83 |
| Sanford Worthington Medical Center | Worthington, MN | not published | $180.03 – $239.30 |
| Sanford Bemidji Medical Center | Bemidji, MN | not published | $176.23 – $239.30 |
| Covenant Children's Hospital | Lubbock, TX | not published | $219.16 – $418.15 |
| Redwood Memorial Hospital | Fortuna, CA | not published | $1,333.00 – $8,222.00 |
| Healdsburg Hospital | Healdsburg, CA | not published | $319.12 – $3,125.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | not published | $237.23 – $3,071.00 |
| Chandler Regional Medical Center | Chandler, AZ | not published | $247.50 – $253.69 |
| St. Joseph's Medical Center Stockton | Stockton, CA | not published | $280.05 – $329.47 |
| Sanford Luverne Medical Center | Luverne, MN | not published | $243.83 – $243.83 |
| Sanford Wheaton | Wheaton, MN | not published | $243.83 – $243.83 |
| Swedish Issaquah | Issaquah, WA | not published | $275.04 – $957.11 |
| Providence St Joseph Hospital Eureka | Eureka, CA | not published | $304.63 – $8,018.00 |
| Queen of The Valley Medical Center | Napa, CA | not published | $336.29 – $7,483.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | not published | $237.23 – $3,071.00 |
| Adventhealth Port Charlotte | Port Charlotte, FL | not published | $247.34 – $451.64 |
| St. Joseph's Behavioral Health Center | Stockton, CA | not published | $310.13 – $310.13 |
| Bakersfield Memorial Hospital | Bakersfield, CA | not published | $295.06 – $295.06 |
| Rose de Lima Hospital | Henderson, NV | not published | $109.07 – $615.91 |
| Sanford Bagley Medical Center | Bagley, MN | not published | $243.83 – $243.83 |
| Sanford Westbrook Hospital | Westbrook, MN | not published | $243.83 – $243.83 |
| Sanford Canby Medical Center | Canby, MN | not published | $243.83 – $243.83 |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | not published | $248.48 – $411.18 |
| Mercy Hospitals – Bakersfield | Bakersfield, CA | not published | $295.06 – $295.06 |
| French Hospital | San Luis Obispo, CA | not published | $295.06 – $295.06 |