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.

Cheapest published cash price

$253.79

Ocean University Medical Center — Brick, NJ

Most expensive published cash price

$6,839.00

Cooperman Barnabas Medical Center — Livingston, NJ

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
Yavapai Regional Medical Center (East) Prescott, AZ not published $247.50 – $533.58
Ascension Saint Thomas Midtown Nashville, TN not published $200.16 – $2,225.50
Atrium Health Anson Wadesboro, NC not published $225.28 – $232.59
St. Joseph’s Hospital and Medical Center Phoenix, AZ not published $247.50 – $254.93
Orthopaedic Hospital of Wisconsin, LLC Glendale, WI not published $743.00 – $16,897.00
Covenant Hospital Plainview Plainview, TX not published $206.81 – $929.54
Grant Medical Center Columbus, OH not published $228.38 – $3,714.00
BAYLOR UNIVERSITY MEDICAL CENTER Dallas, TX not published $87.58 – $7,038.00
Berger Hospital Circleville, OH not published $228.38 – $1,752.00
Providence Little Company of Mary Med Center Torrance Torrance, CA not published $304.63 – $9,648.00
Advocate Good Samaritan Hospital Downers Grove, IL not published $351.00 – $6,291.00
Providence St Luke's Rehabilitation Medical Center Spokane, WA not published $263.93 – $290.33
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee, WI not published $226.06 – $2,807.23
Banner Thunderbird Medical Center Glendale, AZ not published $72.99 – $949.44
Providence Little Co of Mary Med Center San Pedro San Pedro, CA not published $304.63 – $9,636.00
SSM Health St. Mary's Hospital - Madison Madison, WI not published $172.55 – $4,198.00
Providence Holy Cross Medical Center Mission Hills, CA not published $304.63 – $4,768.00
Banner Desert Medical Center Mesa, AZ not published $153.41 – $2,440.42
Advocate Condell Medical Center Libertyville, IL not published $351.00 – $4,528.00
SSM Health St. Anthony Hospital - Midwest Midwest City, OK not published $227.80 – $1,496.00
MercyOne Genesis Davenport West Medical Center Davenport, IA not published $222.29 – $311.20
Advocate Christ Medical Center Oak Lawn, IL not published $351.00 – $6,291.00
Swedish Medical Center - First Hill Campus Seattle, WA not published $274.27 – $957.11
Providence Sacred Heart Medical Center and Children's Hospital Spokane, WA not published $263.93 – $671.71
Uchicago Medicine Adventhealth Hinsdale Hinsdale, IL not published $248.48 – $411.18
Adventhealth Palm Coast Parkway Palm Coast, FL not published $234.97 – $528.29
Adventhealth Ottawa Ottawa, KS not published $222.73 – $3,245.00
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon, WI not published $226.06 – $2,807.23
Community Hospital San Bernardino San Bernardino, CA not published $295.06 – $575.37
Lincoln Health Damariscotta, ME not published $471.00 – $1,311.91
Wellstar Windy Hill Hospital Marietta, GA not published $230.37 – $2,665.00
San Bernardino - Fontana Medical Center FONTANA, CA not published not published
CHI Health St. Francis Grand Island, NE not published $925.16 – $925.16
Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center) Hoffman Estates, IL not published $229.97 – $392.15
Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) Middleburg, FL not published $226.11 – $477.85
CHI Health St. Elizabeth Lincoln, NE not published $925.16 – $925.16
CHI Health Nebraska Heart Lincoln, NE not published $925.16 – $925.16
CHI Health Good Samaritan Kearney, NE not published $925.16 – $925.16
Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) Chicago, IL not published $242.07 – $392.15
Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center) Elk Grove Village, IL not published $229.97 – $392.15
South Bay Medical Center HARBOR CITY, CA not published not published
MEDICAL CITY ARLINGTON HOSPITAL RED OAK, TX not published $86.27 – $629.69
MEDICAL CITY WEATHERFORD HOSPITAL Weatherford, TX not published $87.58 – $239.12
Dell Children's Medical Center (Ascension Seton) Austin, TX not published $74.08 – $1,000.00
Riverside Medical Center RIVERSIDE, CA not published not published
OSF Little Company of Mary Medical Center Evergreen Park, IL not published $253.81 – $472.09
HCA FLORIDA NORTH FLORIDA HOSPITAL NEWBERRY, FL not published $7,116.43 – $7,490.98
OSF Sacred Heart Medical Center – Urbana Danville, IL not published $253.81 – $4,342.00
Sentara Norfolk General Hospital Norfolk, VA not published $235.71 – $5,220.00
MEDICAL CITY MCKINNEY HOSPITAL McKinney, TX not published $87.58 – $239.12

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