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Procedure price report · Other OR therapeutic procedures on musculoskeletal system

Rib cartilage graft to the face, chin, nose, or ear

CPT 21230the billing code this page is about

Taking cartilage from the patient's own rib and grafting it to the face, chin, nose, or ear to restore shape or support.

Hospitals typically charge $4,833 cash for this outpatient procedure — the median across 292 hospitals that filed a usable cash price; the average of the middle 60% is $4,683. Most fall between $1,372 and $9,882 (20th–80th percentile).

Hospitals
292
States
42
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 292 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$937$1,673$4,833$8,140$11,295

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($937 vs $11,295).

How the prices are spread

$656 – $899: 13 hospitals$656$899 – $1,232: 20 hospitals$1,232 – $1,690: 26 hospitals$1,232$1,690 – $2,317: 26 hospitals$2,317 – $3,176: 10 hospitals$2,317$3,176 – $4,355: 31 hospitals$4,355 – $5,970: 32 hospitals$4,355$5,970 – $8,185: 49 hospitals$8,185 – $11,223: 23 hospitals$8,185$11,223 – $15,386: 34 hospitals$11,223median $4,833price bands are equal on a log scale
Hospitals per price band (264 of 292 — the bands cover the 5th to 95th percentile)
FromToHospitals
$656$89913
$899$1,23220
$1,232$1,69026
$1,690$2,31726
$2,317$3,17610
$3,176$4,35531
$4,355$5,97032
$5,970$8,18549
$8,185$11,22323
$11,223$15,38634

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,048
Median cash price$4,833
Cash as a multiple of Medicare0.80×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $4,833.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,343 across 11 hospitalsIL$1,343Wisconsin: median $3,658 across 14 hospitalsWI$3,658Michigan: median $3,658 across 11 hospitalsMI$3,658New York: median $7,000 across 23 hospitalsNY$7,000Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,844 across 17 hospitalsIA$1,844Indiana: no hospital in the corpus filed a usable priceINOhio: 8 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $1,764 across 19 hospitalsPA$1,764New Jersey: median $5,855 across 30 hospitalsNJ$5,855Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $11,295 across 27 hospitalsCA$11,295Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,231 across 12 hospitalsOK$1,231Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $4,833 across 25 hospitalsTX$4,833Florida: median $10,595 across 11 hospitalsFL$10,595
Cash price by state, most expensive first. National median $4,833. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA27$11,295+134%$7,506 – $11,295
Florida FL11$10,595+119%$5,938 – $12,934
New York NY23$7,000+45%$2,175 – $7,390
New Jersey NJ30$5,855+21%$3,786 – $6,553
Texas TX25$4,8330%$3,695 – $4,833
Michigan MI11$3,658−24%$1,434 – $8,140
Wisconsin WI14$3,658−24%$3,658 – $3,658
Iowa IA17$1,844−62%$1,844 – $3,269
Pennsylvania PA19$1,764−64%$461 – $10,001
Illinois IL11$1,343−72%$570 – $1,767
Oklahoma OK12$1,231−75%$1,231 – $1,231
Idaho ID8not enough hospitals filed a usable price
Ohio OH8not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Virginia VA1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $4,833.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care249$4,881$1,372 – $10,325
Children’s15fewer than 20 hospitals
Critical access28$3,658$1,300 – $5,046
Ownership
For-profit35$5,013$920 – $9,422
Government40$3,269$1,340 – $7,830
Non-profit217$4,833$1,386 – $10,001
System affiliation
Part of a system235$4,833$1,372 – $10,325
Independent57$2,514$1,343 – $9,351

Cash price vs list price

Median list price (chargemaster)$5,046
Median cash price$4,833
Cash as a share of list, median hospital62%

At the typical hospital, asking for the cash price cuts the list price by about 38%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

157 hospitals filed a usable inpatient cash price for this code. The median is $3,658 and the average of the middle 60% is $3,989; most fall between $1,343 and $11,147.

Cash price percentiles, inpatient, across 157 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$920$1,372$3,658$8,646$11,295

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($920 vs $11,295).

Of the 172 hospitals that filed this code inpatient, 157 gave a usable cash price; 11 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 4 a list price only.

How complete is this

292 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 314 hospitals that filed this code at all gave us
Usable cash price — counted292
Cash price carrying a plausibility flag — shown on the compare tool, excluded here18
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded2
Hospitals that filed this code314

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other OR therapeutic procedures on musculoskeletal system family.

Hospitals file this code under descriptions such as Graft Rib Crtlg Autogenous Face/Chin/Nose/Ear.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Rib cartilage graft to the face, chin, nose, or ear (CPT 21230) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-21230-rib-cartilage-graft-to-the-face-chin-nose-or-ear