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Procedure price report · Treatment, facial fracture or dislocation

Upper jaw or palate fracture care without surgery

CPT 21421the billing code this page is about

Treatment of a broken palate or upper jaw without an incision, holding the bones in place by wiring the upper and lower teeth together.

Hospitals typically charge $3,794 cash for this outpatient procedure — the median across 602 hospitals that filed a usable cash price; the average of the middle 60% is $3,674. Most fall between $1,327 and $6,422 (20th–80th percentile).

Hospitals
602
States
47
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 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 602 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
$864$1,664$3,794$5,481$8,795

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($864 vs $8,795).

How the prices are spread

$740 – $976: 57 hospitals$740$976 – $1,287: 33 hospitals$1,287 – $1,697: 48 hospitals$1,287$1,697 – $2,238: 27 hospitals$2,238 – $2,952: 27 hospitals$2,238$2,952 – $3,893: 107 hospitals$3,893 – $5,134: 103 hospitals$3,893$5,134 – $6,771: 63 hospitals$6,771 – $8,930: 50 hospitals$6,771$8,930 – $11,777: 45 hospitals$8,930median $3,794price bands are equal on a log scale
Hospitals per price band (560 of 602 — the bands cover the 5th to 95th percentile)
FromToHospitals
$740$97657
$976$1,28733
$1,287$1,69748
$1,697$2,23827
$2,238$2,95227
$2,952$3,893107
$3,893$5,134103
$5,134$6,77163
$6,771$8,93050
$8,930$11,77745

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,387
Median cash price$3,794
Cash as a multiple of Medicare1.12×

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 $3,794.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $5,477 across 19 hospitalsWA$5,477Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,664 across 18 hospitalsIL$1,664Wisconsin: median $4,156 across 10 hospitalsWI$4,156Michigan: median $4,559 across 20 hospitalsMI$4,559New York: median $3,935 across 36 hospitalsNY$3,935Massachusetts: 6 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $6,422 across 13 hospitalsOR$6,422Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $1,664 across 19 hospitalsIA$1,664Indiana: median $4,062 across 16 hospitalsIN$4,062Ohio: median $3,162 across 26 hospitalsOH$3,162Pennsylvania: median $3,769 across 36 hospitalsPA$3,769New Jersey: median $4,290 across 28 hospitalsNJ$4,290Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $5,120 across 59 hospitalsCA$5,120Utah: median $891 across 23 hospitalsUT$891Colorado: median $7,290 across 13 hospitalsCO$7,290Nebraska: median $1,815 across 12 hospitalsNE$1,815Missouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $3,748 across 15 hospitalsVA$3,748Maryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: median $739 across 11 hospitalsAZ$739New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $8,037 across 10 hospitalsSC$8,037Oklahoma: median $885 across 17 hospitalsOK$885Louisiana: median $1,855 across 11 hospitalsLA$1,855Mississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $3,611 across 10 hospitalsGA$3,611Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $4,199 across 65 hospitalsTX$4,199Florida: median $5,018 across 21 hospitalsFL$5,018
Cash price by state, most expensive first. National median $3,794. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC10$8,037+112%$5,269 – $8,125
Colorado CO13$7,290+92%$2,780 – $8,292
Oregon OR13$6,422+69%$1,189 – $6,560
Washington WA19$5,477+44%$1,586 – $6,657
California CA59$5,120+35%$2,382 – $11,777
Florida FL21$5,018+32%$3,840 – $10,216
Michigan MI20$4,559+20%$1,094 – $11,523
New Jersey NJ28$4,290+13%$3,590 – $5,855
Texas TX65$4,199+11%$3,016 – $6,232
Wisconsin WI10$4,156+10%$4,156 – $4,156
Indiana IN16$4,062+7%$811 – $5,388
New York NY36$3,935+4%$3,838 – $7,446
Pennsylvania PA36$3,769−1%$397 – $5,036
Virginia VA15$3,748−1%$2,583 – $4,903
Georgia GA10$3,611−5%$3,611 – $3,611
Ohio OH26$3,162−17%$1,664 – $3,794
Louisiana LA11$1,855−51%$1,190 – $2,939
Nebraska NE12$1,815−52%$1,522 – $3,614
Iowa IA19$1,664−56%$1,421 – $1,780
Illinois IL18$1,664−56%$811 – $6,938
Utah UT23$891−77%$864 – $990
Oklahoma OK17$885−77%$885 – $5,348
Arizona AZ11$739−81%$739 – $4,069
Idaho ID8not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
West Virginia WV7not enough hospitals filed a usable price
Massachusetts MA6not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Wyoming WY1not 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 $3,794.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care509$3,818$1,360 – $6,422
Children’s18fewer than 20 hospitals
Critical access74$3,016$1,015 – $6,585
Ownership
For-profit60$3,606$885 – $5,266
Government73$3,611$1,360 – $6,380
Non-profit468$3,818$1,398 – $6,598
System affiliation
Part of a system531$3,823$1,360 – $6,489
Independent71$2,473$1,199 – $5,310

Cash price vs list price

Median list price (chargemaster)$7,295
Median cash price$3,794
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

438 hospitals filed a usable inpatient cash price for this code. The median is $3,794 and the average of the middle 60% is $3,764; most fall between $1,219 and $7,055.

Cash price percentiles, inpatient, across 438 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
$875$1,653$3,794$6,269$9,859

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($875 vs $9,859).

Of the 467 hospitals that filed this code inpatient, 438 gave a usable cash price; 9 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 20 a list price only.

How complete is this

602 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 646 hospitals that filed this code at all gave us
Usable cash price — counted602
Cash price carrying a plausibility flag — shown on the compare tool, excluded here17
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 — excluded25
Hospitals that filed this code646

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 24, 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 Treatment, facial fracture or dislocation family.

Hospitals file this code under descriptions such as Closed Tx Palatal/Maxillary Fx W/Fixation/Splint.

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, “Upper jaw or palate fracture care without surgery (CPT 21421) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-21421-upper-jaw-or-palate-fracture-care-without-surgery