Optx palatal/max fracture cost in Texas
OPTX PALATAL/MAX FRACTURE · CPT 21422
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | not published | $492.24 – $1,000.00 | 7 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | not published | $492.24 – $1,000.00 | 7 |
| Covenant Hospital Levelland | Levelland | not published | $2,447.50 – $6,273.88 | 5 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $6,269.16 – $6,269.16 | 1 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | not published | $1,073.35 – $14,507.25 | 15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | not published | $1,073.35 – $14,507.25 | 13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | not published | $1,155.39 – $14,507.25 | 16 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | not published | $1,155.39 – $14,507.25 | 17 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | not published | $721.94 – $13,172.00 | 3 |
| Adventhealth Central Texas | Killeen | not published | $854.58 – $9,514.89 | 5 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | not published | $492.24 – $1,000.00 | 7 |
| Ascension Seton Cedar Park Hospital | Cedar Park | not published | $492.24 – $1,000.00 | 7 |
| Covenant Children's Hospital | Lubbock | not published | $821.81 – $17,789.31 | 5 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $6,269.16 – $6,269.16 | 1 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $5,976.54 – $6,269.16 | 2 |
| HCA HOUSTON CONROE | CONROE | not published | $5,976.54 – $6,269.16 | 2 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $6,269.16 – $6,269.16 | 1 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $6,269.16 – $6,269.16 | 1 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | not published | $1,312.63 – $14,507.25 | 14 |
| Covenant Hospital Plainview | Plainview | not published | $1,374.16 – $6,273.88 | 5 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | not published | $1,155.39 – $14,507.25 | 18 |
| HCA HOUSTON PEARLAND | Pearland | not published | $6,269.16 – $6,269.16 | 1 |
| Texas Health Hospital Mansfield | Mansfield | not published | $721.94 – $13,172.00 | 3 |
| Ascension Providence | Waco | not published | $546.95 – $1,292.12 | 4 |
| Covenant Medical Center | Lubbock | not published | $835.68 – $16,010.38 | 7 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $6,269.16 – $6,269.16 | 1 |
| Adventhealth Rollins Brook | Lampasas | not published | $854.58 – $4,826.69 | 2 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | not published | $492.24 – $1,000.00 | 7 |
| Dell Children's Medical Center (Ascension Seton) | Austin | not published | $492.24 – $1,000.00 | 7 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | not published | $492.24 – $1,000.00 | 7 |
| Ascension Seton Northwest (Ascension Seton) | Austin | not published | $492.24 – $1,000.00 | 7 |
| HCA HOUSTON WEST | HOUSTON | not published | $5,976.54 – $6,269.16 | 2 |