What does code 21422 cost?

We have parsed hospital-published rows for 21422, but cash prices were not disclosed in every file. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

21422 is the billing code hospitals use to identify "Treat mouth roof fracture" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

21422

HCPCS

Treat mouth roof fracture

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 21422 (Treat mouth roof fracture) appears at 26 hospitals. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare 21422 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

26 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Treat mouth roof fracture Outpatient	Endeavor Health Edward Hospital	21422 HCPCS	—	—	$2,251 – $10,220	—
Treat mouth roof fracture Outpatient	University of Chicago Medical Center	21422 HCPCS	—	—	—	—
Optx palatal/max fracture Inpatient & outpatient	Antioch Medical Center	21422 CPT	—	—	$7,148 – $22,386	—
Optx palatal/max fracture Inpatient & outpatient	Fremont Medical Center	21422 CPT	—	—	$7,148 – $22,386	—
Optx palatal/max fracture Inpatient & outpatient	Fresno Medical Center	21422 CPT	—	—	$7,148 – $22,386	—
Optx palatal/max fracture Inpatient & outpatient	Oakland Medical Center	21422 CPT	—	—	$7,148 – $22,386	—
Optx palatal/max fracture Inpatient & outpatient	Redwood City Medical Center	21422 CPT	—	—	$7,148 – $22,386	—
Optx palatal/max fracture Inpatient & outpatient	Richmond Medical Center	21422 CPT	—	—	$7,148 – $22,386	—
Optx palatal/max fracture Inpatient & outpatient	Roseville Medical Center	21422 CPT	—	—	$7,148 – $22,386	—
Optx palatal/max fracture Inpatient & outpatient	Sacramento Medical Center	21422 CPT	—	—	$7,148 – $22,386	—
Optx palatal/max fracture Inpatient & outpatient	San Francisco Medical Center	21422 CPT	—	—	$7,148 – $22,386	—
Optx palatal/max fracture Inpatient & outpatient	San Jose Medical Center	21422 CPT	—	—	$7,148 – $22,386	—
Optx palatal/max fracture Inpatient & outpatient	San Leandro Medical Center	21422 CPT	—	—	$7,148 – $22,386	—
Optx palatal/max fracture Inpatient & outpatient	San Rafael Medical Center	21422 CPT	—	—	$7,148 – $22,386	—
Optx palatal/max fracture Inpatient & outpatient	Santa Clara Medical Center	21422 CPT	—	—	$7,148 – $22,386	—
Optx palatal/max fracture Inpatient & outpatient	Santa Rosa Medical Center	21422 CPT	—	—	$7,148 – $22,386	—
Optx palatal/max fracture Inpatient & outpatient	South Sacramento Medical Center	21422 CPT	—	—	$7,148 – $22,386	—
Optx palatal/max fracture Inpatient & outpatient	South San Francisco Medical Center	21422 CPT	—	—	$7,148 – $22,386	—
Optx palatal/max fracture Inpatient & outpatient	Stockton Medical Center - Manteca	21422 CPT	—	—	$7,148 – $22,386	—
Optx palatal/max fracture Inpatient & outpatient	Stockton Medical Center - Modesto	21422 CPT	—	—	$7,148 – $22,386	—
Optx palatal/max fracture Inpatient & outpatient	Vacaville Medical Center	21422 CPT	—	—	$7,148 – $22,386	—
Optx palatal/max fracture Inpatient & outpatient	Vallejo Medical Center	21422 CPT	—	—	$7,148 – $22,386	—
Optx palatal/max fracture Inpatient & outpatient	Walnut Creek Medical Center	21422 CPT	—	—	$7,148 – $22,386	—
Optx palatal/max fracture Inpatient & outpatient	Orange County Anaheim Medical Center	21422 CPT	—	—	$5,869 – $17,455	—
OPTX PALATAL/MAX FRACTURE Outpatient	Atrium Health Mercy	21422 CPT	—	—	$5,739 – $7,033	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 21422 prices

Open a hospital to see this code in the context of its full published prices.

Code 21422: frequently asked

What does code 21422 cost?: We have parsed hospital-published rows for 21422, but cash prices were not disclosed in every file. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 21422?: 21422 is the billing code hospitals use to identify "Treat mouth roof fracture" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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Hospitals publishing code 21422 by state

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