Revision of jaw muscle/bone cost in Texas
Revision of jaw muscle/bone · CPT 21295
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | not published | $184.39 – $1,578.73 | 20 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | not published | $184.39 – $1,578.73 | 22 |
| Covenant Hospital Levelland | Levelland | not published | $1,000.00 – $2,747.88 | 6 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $412.23 – $2,347.85 | 8 |
| St. Luke's Health - Springwoods Village Hospital | Spring | not published | $958.00 – $958.00 | 1 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | not published | $958.00 – $958.00 | 1 |
| Baylor St Luke's Medical Center | Houston | not published | $958.00 – $958.00 | 1 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | not published | $1,424.90 – $3,122.44 | 3 |
| Adventhealth Central Texas | Killeen | not published | $1,558.65 – $2,991.88 | 5 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | not published | $184.39 – $1,578.73 | 20 |
| Ascension Seton Cedar Park Hospital | Cedar Park | not published | $184.39 – $1,578.73 | 20 |
| Covenant Children's Hospital | Lubbock | not published | $763.11 – $2,874.09 | 4 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $451.36 – $2,401.83 | 6 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $412.23 – $2,401.83 | 9 |
| HCA HOUSTON CONROE | CONROE | not published | $412.23 – $2,347.85 | 10 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $451.36 – $2,766.15 | 6 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $412.23 – $2,158.94 | 9 |
| Covenant Hospital Plainview | Plainview | not published | $1,000.00 – $1,696.40 | 6 |
| HCA HOUSTON PEARLAND | Pearland | not published | $451.36 – $2,766.15 | 6 |
| Texas Health Hospital Mansfield | Mansfield | not published | $1,424.90 – $3,117.31 | 3 |
| Ascension Providence | Waco | not published | $420.64 – $2,550.25 | 16 |
| Covenant Medical Center | Lubbock | not published | $775.99 – $2,681.00 | 7 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $420.64 – $2,347.85 | 7 |
| Adventhealth Rollins Brook | Lampasas | not published | $1,686.68 – $2,991.88 | 2 |
| St. Luke's Health - The Vintage Hospital | Houston | not published | $958.00 – $958.00 | 1 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | not published | $184.39 – $1,578.73 | 20 |
| Dell Children's Medical Center (Ascension Seton) | Austin | not published | $184.39 – $1,578.73 | 20 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | not published | $184.39 – $1,578.73 | 20 |
| Ascension Seton Northwest (Ascension Seton) | Austin | not published | $184.39 – $1,578.73 | 20 |
| HCA HOUSTON WEST | HOUSTON | not published | $412.23 – $2,347.85 | 9 |