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Procedure price report · Other OR therapeutic procedures on musculoskeletal system

Throat bone repositioning surgery for sleep apnea

CPT 21685the billing code this page is about

Surgery that cuts muscles attached to the hyoid bone in the neck and pulls the bone forward to widen the airway.

Hospitals typically charge $3,409 cash for this outpatient procedure — the median across 242 hospitals that filed a usable cash price; the average of the middle 60% is $4,064. Most fall between $1,603 and $8,140 (20th–80th percentile).

Hospitals
242
States
36
Filings dated
Jun 2024 – 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 242 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
$998$1,623$3,409$7,000$9,422

The most expensive tenth of hospitals charges at least 9.4× what the cheapest tenth charges ($998 vs $9,422).

How the prices are spread

$751 – $997: 13 hospitals$751$997 – $1,323: 19 hospitals$1,323 – $1,756: 22 hospitals$1,323$1,756 – $2,331: 26 hospitals$2,331 – $3,094: 21 hospitals$2,331$3,094 – $4,106: 21 hospitals$4,106 – $5,450: 18 hospitals$4,106$5,450 – $7,235: 35 hospitals$7,235 – $9,603: 33 hospitals$7,235$9,603 – $12,747: 11 hospitals$9,603median $3,409price bands are equal on a log scale
Hospitals per price band (219 of 242 — the bands cover the 5th to 95th percentile)
FromToHospitals
$751$99713
$997$1,32319
$1,323$1,75622
$1,756$2,33126
$2,331$3,09421
$3,094$4,10621
$4,106$5,45018
$5,450$7,23535
$7,235$9,60333
$9,603$12,74711

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,048
Median cash price$3,409
Cash as a multiple of Medicare0.56×

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 $3,409.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: 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: no hospital in the corpus filed a usable priceWAIdaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,686 across 10 hospitalsIL$1,686Wisconsin: no hospital in the corpus filed a usable priceWIMichigan: median $1,038 across 20 hospitalsMI$1,038New York: median $7,000 across 21 hospitalsNY$7,000Massachusetts: no hospital in the corpus filed a usable priceMAOregon: no hospital in the corpus filed a usable priceORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $2,443 across 15 hospitalsIA$2,443Indiana: no hospital in the corpus filed a usable priceINOhio: 7 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $1,849 across 20 hospitalsPA$1,849New Jersey: median $6,311 across 22 hospitalsNJ$6,311Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $9,307 across 22 hospitalsCA$9,307Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 1 hospital 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: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,623 across 12 hospitalsOK$1,623Louisiana: 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: 7 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $4,556 across 21 hospitalsTX$4,556Florida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,409. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA22$9,307+173%$9,307 – $9,307
New York NY21$7,000+105%$4,265 – $7,027
New Jersey NJ22$6,311+85%$4,881 – $6,553
Texas TX21$4,556+34%$3,335 – $4,556
Iowa IA15$2,443−28%$2,443 – $2,443
Pennsylvania PA20$1,849−46%$464 – $10,001
Illinois IL10$1,686−51%$751 – $2,305
Oklahoma OK12$1,623−52%$1,623 – $1,623
Michigan MI20$1,038−70%$1,038 – $8,140
Idaho ID8not enough hospitals filed a usable price
Georgia GA7not enough hospitals filed a usable price
Ohio OH7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not 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 $3,409.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care218$3,786$1,603 – $8,140
Children’s5fewer than 20 hospitals
Critical access18fewer than 20 hospitals
Ownership
For-profit29$3,335$928 – $15,519
Government29$3,409$1,720 – $7,000
Non-profit183$3,786$1,603 – $8,140
System affiliation
Part of a system197$3,968$1,603 – $9,186
Independent45$2,235$1,556 – $5,938

Cash price vs list price

Median list price (chargemaster)$3,397
Median cash price$3,409
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

134 hospitals filed a usable inpatient cash price for this code. The median is $2,443 and the average of the middle 60% is $4,202; most fall between $1,238 and $9,307.

Cash price percentiles, inpatient, across 134 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
$962$1,623$2,443$6,548$9,307

The most expensive tenth of hospitals charges at least 9.7× what the cheapest tenth charges ($962 vs $9,307).

Of the 143 hospitals that filed this code inpatient, 134 gave a usable cash price; 8 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 1 a list price only.

How complete is this

242 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 264 hospitals that filed this code at all gave us
Usable cash price — counted242
Cash price carrying a plausibility flag — shown on the compare tool, excluded here19
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded2
Hospitals that filed this code264

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 Hyoid Myotomy & Suspension.

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, “Throat bone repositioning surgery for sleep apnea (CPT 21685) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-21685-throat-bone-repositioning-surgery-for-sleep-apnea