Sedation is included with all of these surgeries.

Extraction of first erupted tooth:  $375

Extraction of additional erupted teeth during same surgery:  $185 each

Extraction of first impacted tooth:  $500

Extraction of additional impacted teeth during same surgery:  $350 each

Alveoplasty at the time of extraction:  $225 per quadrant
Includes exostosis

Alveoplasty separate from extractions:  $510 per quadrant
Includes exostosis

Removal of lingual torus:  $625 per side

Removal of palatal torus:  $850

Sequestrectomy or removal of exposed bone after surgery:  $500
No charge for surgery or sedation if RCOMS performed the surgery within the last 3 months

We will remove four wisdom teeth for $1,500. We don’t need to see the x-rays. The type of impaction doesn’t matter. Four wisdom teeth = $1,500!

Surgery includes:

• Consultation
• In-office x-rays as needed
• IV sedation
• Extraction of the 4 teeth (additional fees apply if you have more than 4 wisdom teeth)
• Necessary aftercare for 3 months

We recommend patients be at least 16 years of age. If patients are younger than 16, we require a separate consultation appointment. We may decline to remove the teeth at a younger age, even if another doctor has recommended removing them.

IV sedation is $200 per 15 minutes for surgeries that do not include sedation.  IV anesthesia is included with most of our surgeries. Sedation is used to relax patients so the surgery is easier for everyone. Sedation does not take away pain, we use local anesthetics injections after the patient is sedated to block pain.

General anesthesia is available and provided by an independent medical anesthesiologist.

Pre-Sedation Instructions

See our full Oral Surgery Pre-Op Sedation Instructions here.

Failure to follow the instructions will result in surgery being cancelled.

Plan to go home and do nothing after sedation. Do not plan to drive, work, exercise, do chores, etc. until the next day.

Briefly, patients planning to have IV sedation:

• Must be fasting for at least eight hours (except for water, you may have small amounts of water up to two hours before the appointment). In most cases you may take your morning medications with a sip of water. If you have questions about medications before surgery, please call the office at 210-778-0002.
• Cannot wear artificial fingernails or nail polish to their appointment – both interfere with our monitors.
• Should have an adult driver (age 18+) to take them home.  We do not allow sedated patients to take a taxi, bus, or ride share.
• Must bring their inhaler to the surgery if they have an inhaler. Bring the inhaler even if it has not been required or used in a long time.

Failure to follow the Pre-Op Sedation Instructions will result in cancellation of the surgery.

X-rays are included if necessary. There is no discount for brining or sending x-rays to info@RiverCityOMS.com, but doing so will decrease your radiation exposure. X-rays need to be clear & current to be useful. A photo of an x-ray on a computer screen is not usually good enough.

Routine consultation:  $200
Valid for 3 months. The entire fee is applied to surgery if surgery is needed & completed within 3 months.

Re-evaluation:  $150
This fee is for evaluation of patients last seen between 3 and 12 months ago. After 12 months a regular consultation fee is charged. The entire fee is applied to surgery if another surgery is needed & completed within 3 months of the re-evaluation.

Consultations for trauma and orthognathic surgery have different fees. Please click “View Full Details” below for more information.

These surgeries include sedation.

Some intermediate and most complex I&D procedures are done in an operating room in which case the minimum total surgery fee is $3,000, even if the surgery fees are less than $3,000. Rounding on a patient in the hospital is $250 per day and in addition to the surgery fee or the $3,000 minimum.

Operating room cases also have associated facility and anesthesia fees. Your medical insurance may cover at least a portion of the facility fees and/or the anesthesia fees.

Incision & drainage (I&D), simple:  $380
Usually one space & easy access

Incision & drainage (I&D), intermediate:  $885
May be more than one space or require extraoral access
More difficult case which may require more than one surgery

Incision & drainage (I&D), complex:  $1,730
Usually extraoral and more than one space
Difficult access

Repeat I&D, washout, or debridement within 2 weeks:  $350 each 

After hours fee:  $500

Ultrasound guided IV placement:  $360

Offsite surgery fee:  $3,000 minimum

Additional surgical fee to take over or “fix” a case:  $500

Complete FEMLA paperwork:  $50

Assist with out-of-network insurance claims:  $50

Doctor letter to insurance:  $120

Doctor letter to attorney:  $175

Other miscellaneous forms:  $20 per page

These surgeries include IV sedation.

Surgical exposure of a tooth: $400 each

Exposing a tooth then attaching a bracket or wire:  $1,200 each tooth

Luxation (wiggling) of a surgically exposed tooth to aid in eruption:  $125

Tooth auto-transplantation and stabilization:  $3,000 each tooth

Placement of a Temporary Anchorage Device (TAD):  $1,200 each

These surgeries include IV sedation if done in the office and 3 months of routine post-operative care. Treatment of recurrence of a disease or pathology is not routine post-operative care and fees are charged.

Some of these surgeries will be done in an operating room in which case they are subject to our off-site minimum fee of $3,000. Rounding on a patient in the hospital is $250 per day. More details are here.

If done in an operating room, anesthesia will be billed by the anesthesiologist who generally accepts your medical insurance. The hospital or surgery center will also have fees that may be covered or partially covered by your medical insurance.

Excision of a benign soft tissue lesion, simple:  $540
Single layer closure

Excision of a benign soft tissue lesion, intermediate:  $980
May require multiple layer closure or wide undermining of tissue

Excision of a benign soft tissue lesion, complex:  $1,800
Requires rotational flaps or other complex closure

Marsupialization of a cyst or ranula:  $975

Enucleation or simple resection of a benign bony lesion:  $810
Additional fees for complicated closures such as sinus opening

Intermediate or complex resection of a benign bony lesion:  $3,650

Resection of a soft tissue cancerous lesion, simple:  $1,500

Resection of a soft tissue cancerous lesion, intermediate:  $3,900

Resection of a soft tissue cancerous lesion, complex:  $6,700

Resection of a cancerous lesion in bone or requiring bone resection:  $10,600

Neck dissection prior to radiation:  $4,450

These surgeries include IV sedation if done in the office.

Surgeries done off-site are subject to our off-site minimum fee of $3,000. Rounding on a patient in the hospital is $250 per day. More details are here.

Anesthesia is billed by the anesthesiologist who generally accepts your medical insurance (if your insurance considers this a covered procedure). The hospital will also have fees that may be covered by your medical insurance.

Sialodochoplasty: $1,520

Repositioning of the salivary duct

Sialolithotomy: $865

Surgical removal of a salivary stone. This can sometimes can be done in the office.

Excision of sublingual or submandibular gland:  $1,860 per gland

River City Oral Surgery is the nationwide leader in up-front, affordable, and fair pricing. We offer single implants to replace one tooth or multiple implants to replace all the teeth in a jaw.

Placement of a Dental Implant(s):  $1,600 each

Surgery includes:

• Consultation
• In-office x-rays as needed
• Placement of the dental implant and a healing abutment
• IV sedation for the implant
• Local anesthesia to place the abutment if a separate abutment placement procedure is required
• Necessary aftercare for up to 5 years if the patient is eligible for our warranty

Implants are the screw that goes in the bone. After the implant is placed, patients still need a dentist to make the tooth that goes on the implant. The $1,600 fee does not include the crown to go on the implant.

For more information about dental implants, read our Dental Implant Fact Sheet.

We offer a 5 year warranty on our implants at no cost to eligible patients. Details are available here.

These surgeries include removing any apical cyst, abscess, or granuloma and sedation.

Apicoectomy, incisor or canine tooth:  $1,200

Apicoectomy, premolar: $1,200

Apicoectomy, molar:  $2,250

Some lesions may not require a biopsy and may be treated with excision/resection rather than a biopsy.

These surgeries include sedation.

25% of the biopsy cost is applied towards final surgical treatment if the final surgery is done within 3 months.

Biopsy of a soft tissue lesion:  $435

Biopsy of a bone lesion:  $610

These surgeries include IV sedation if done in the office.

Some grafts are done in an operating room in which case the minimum total surgery fee is $3,000, even if the surgery fees are less than $3,000. Rounding on a patient in the hospital is $250 per day and in addition to the surgery fee or the $3,000 minimum.

Operating room cases also have associated facility and anesthesia fees. Your medical insurance may cover at least a portion of the facility fees and/or the anesthesia fees.

Collagen membranes, screws, and harvesting patient bone are included in these bone grafting prices (other practices charge for those). We do charge extra for a titanium-reinforced membrane.

Bone graft, simple:  $550 per area
Examples are:  particulate grafts, socket preservation grafts, osteotome sinus lifts.

Bone graft, intermediate:  $2,250 per area
Examples are:  open sinus lift, ridge split, autogenous bone blocks from oral donor sites.

Bone graft, complex:  $4,200
Examples are: reconstruction of severe atrophy or continuity defects, autogenous bone blocks from extraoral donor sites.

Gum graft, first tooth:  $1,100
Gum graft, each additional tooth at the same time:  $600
Extra fee for supplies if patient’s own tissue cannot be used. Optimal results may require two or more grafts spaced months apart.

Pretrial work:  $300 per half hour
One hour minimum. Rounded to next half hour block.

Deposition:  $1,300 per hour
4 hour minimum. Rounded to next hour block.

Trial:  $1,800 per hour
4 hour minimum. Rounded to hour block.

Travel Time:  $730 per hour
1 hour minimum. Rounded to next half hour block.

Minimum charge for deposition or trial:  $7,200 per day 

Maximum charge for deposition or trial:  $10,000 per day 

Caldwell Luc sinusotomy (aka antrostomy):  $865 per side
Includes IV sedation.

Coronoidectomy:  $1,100 per side
This surgery may be done in the hospital in which case minimum surgery ($3,000) and daily rounding fees apply. This surgery is done under general anesthesia. The anesthesia is billed by the anesthesiologist who generally accepts your medical insurance. The hospital or surgery center will have their own fees which may be covered by your medical insurance. Includes 3 months of routine post-operative care.

Cutting a dental bridge: $425 per bridge
We STRONGLY recommend you have your dentist cut your bridge before surgery if necessary. Modern bridge materials are very hard and require specialized tools to efficiently cut. Most general dentist keep those tools on hand and are less likely to damage the part of the bridge you are keeping. If we cut your bridge, we are not responsible for damage to the part of the bridge you are trying to keep.

Does NOT include sedation unless combined with another surgery than includes sedation.

Arch bar removal:  $800 per bar
This service is included if RCOMS placed the arch bar. Includes sedation.

Hardware removal:  $920 per site
Sedation is NOT included.

Treatment of a dry socket for extraction NOT done by RCOMS: $200 first visit, $60 each additional visit
Treatment is with local anesthesia only if necessary, does not include sedation. Does not include the consultation fee.

These surgeries include IV sedation if done in the office.

Most of these surgeries will be done in an operating room in which case there is an off-site minimum surgery fee of $3,000 OR fee. Rounding on patient in the hospital is $250 per day.

If done in an operating room, anesthesia will be billed by the anesthesiologist who generally accepts your medical insurance. The hospital or surgery center will also have fees that may be covered or partially covered by your medical insurance.

Does not include hardware (plates & screws) if done in the office.

Additional fees for bone grafts if necessary.

Mandibular sagittal split ramus osteotomy (SSRO):  $3,400 per side

Mandibular intraoral vertical ramus osteotomy (IVRO):  $2,675 per side

Maxillary LeFort I osteotomy, 1 piece:  $7,500

Maxillary LeFort I osteotomy, 2 pieces:  $9,250

Maxillary LeFort I osteotomy, 3 pieces:  $10,375

Subapical osteotomy:  $6,480

Genioplasty (chin repositioning):  $3,400

Bone allograft (non-living) for orthognathic surgery:  $435 per osteotomy

Bone allograft (living bone from the patient) for orthognathic surgery:   $1,950 per osteotomy

These surgeries include IV sedation if done in the office.

Surgeries done off-site are subject to our off-site minimum fee of $3,000. Rounding on a patient in the hospital is $250 per day. More details are here.

Anesthesia is billed by the anesthesiologist who generally accepts your medical insurance (if your insurance considers this a covered procedure). The hospital will also have fees that may be covered by your medical insurance.

Apically positioned gingival flap:  $500

Crown lengthening:  $550 per tooth

Frenectomy, lip:  $425 per frenum 

Frenectomy, tongue:  $520 

Frenuloplasty: $1,300  
This surgery may have to be done in an operating room, especially on children.

Gingivectomy, first tooth:  $600

Gingivectomy, each additional tooth during the same surgery:  $150

Maxillary sinus repair, simple:  $325
Usually a primary repair at the time of extraction.
Usually requires only a plug & suture, no significant tissue flaps.

Maxillary sinus repair, complex:  $1,080
Usually a secondary repair and requires local or regional flaps.

Nerve exploration and/or repair, simple:  $1,950

Nerve exploration and/or repair, complex:  $3,400

Pectoralis flap reconstruction:  $4,860

Repositioning of the trigeminal nerve:  $1,200 per nerve

Scar revision:  $486 per centimeter of length

Vestibuloplasty:  $2,000 per jaw

Certain supplies have an additional fee.

These surgeries include IV sedation if done in the office and 3 months of routine post-operative care. Revision surgery, non-unions, and malunions are not routine post-operative care and fees are charged.

Some of these surgeries will be done in an operating room in which case they are subject to our off-site minimum fee of $3,000. Rounding on a patient in the hospital is $250 per day. More details are here.

If done in an operating room, anesthesia will be billed by the anesthesiologist who generally accepts your medical insurance. The hospital or surgery center will also have fees that may be covered or partially covered by your medical insurance.

Coronal or bicoronal flap for access:  $1,460
Allows access to the forehead and upper face for trauma or pathology surgery

Dentoalveolar fracture repair: $2,900 per fracture

Facial fracture, ORIF: $2,375 per fracture
Includes nose, maxilla, and ZMC.

Facial fracture, ORIF, complex, isolated: $4,860 per fracture
Includes isolated orbit, frontal bone, and zygomatic arch.

Facial fracture, ORIF, complex, multiple: $3,900 per fracture
Includes orbit, frontal bone, and zygomatic arch.

Laceration repair, simple: $735 per wound
Single layer closure up to 10cm length

Laceration repair, intermediate: $1050 per wound
Multiple layer closure up to 10cm length

Laceration repair, complex: $1,460 per wound
Multiple layer and/or flap closure up to 10cm length

Laceration repair, any complexity, per centimeter after 10cm:  $86

Mandible fracture, maxillo-mandibular fixation (MMF):  $3,400 per fracture
Wiring the mouth closed to allow healing

Mandible fracture, maxillo-mandibular fixation (MMF) with open reduction: $3,650 per fracture
Wiring the mouth closed to allow healing

Mandible fracture, open reduction & internal fixation (ORIF), intraoral approach:  $3,600 per fracture

Putting metal plates, screws, and/or wires on or into the bone to allow healing

Mandible fracture, open reduction & internal fixation (ORIF), extraoral approach: $4,000 per fracture

Putting metal plates, screws, and/or wires on or into the bone to allow healing

Nasal fracture, closed reduction:  $1,460