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

Apicoectomy, incisor or canine tooth:  $500

Apicoectomy, premolar: $560

Apicoectomy, molar:  $680

IV sedation is $180 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.

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.

Sedation is included with all of these surgeries.

Extraction of first erupted tooth:  $375

Extraction of additional erupted teeth during same surgery:  $175 each

Extraction of first impacted tooth:  $475

Extraction of additional impacted teeth during same surgery:  $325 each

Alveoplasty at the time of extraction:  $200 per quadrant

Includes exostosis

Alveoplasty separate from extractions:  $470 per quadrant

Includes exostosis

Removal of lingual torus:  $575 per side

Removal of palatal torus:  $765

Sequestrectomy or removal of exposed bone after surgery:  $430

No charge for surgery or sedation if RCOMS performed the surgery within the last 3 months

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:  $400

Biopsy of a bone lesion:  $565

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):  $1,500 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 $1,500 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.

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 if done in the office.

Some of these surgeries will be done in an operating room in which case there is an additional $280 OR fee. Rounding on patient in the hospital is $200 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.

Bone graft, simple:  $500 per area

Examples are:  particulate grafts, socket preservation grafts, osteotome sinus lifts.

Bone graft, intermediate:  $1,100 per area

Examples are:  open sinus lift, ridge split, autogenous bone blocks from oral donor sites.

Bone graft, complex:  $3,400

Examples are: reconstruction of severe atrophy or continuity defects, autogenous bone blocks from extraoral donor sites.

Gum graft, first tooth:  $600

Extra fee for supplies if patient’s own tissue cannot be used. Optimal results may require two or more grafts spaced months apart.

These surgeries include sedation.

Complex and some intermediate surgeries are usually done in the hospital in which case there is an additional $280 OR fee for each trip to the OR. Rounding on patient in the hospital is $200 per day.

If one of these surgeries is 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.

Incision & drainage (I&D), simple:  $350

Usually one space & easy access

Incision & drainage (I&D), intermediate:  $820

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:  $1,600

Usually extraoral and more than one space
Difficult access

Repeat I&D, washout, or debridement within 2 weeks:  $325 each 

These surgeries include sedation.

Surgical exposure of a tooth: $300 each

Exposing a tooth then attaching a bracket or wire:  $785 each tooth

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

Tooth auto-transplantation and stabilization:  $2,250

Placement of a Temporary Anchorage Device (TAD):  $725

Pretrial work:  $280 per half hour
One hour minimum. Rounded to next half hour block.

Deposition:  $1,200 per hour
4 hour minimum. Rounded to next hour block.

Trial:  $1,600 per hour
4 hour minimum. Rounded to hour block.

Travel Time:  $675 per hour
1 hour minimum. Rounded to next half hour block.

Minimum charge for deposition or trial:  $4,800 per day 

Maximum charge for deposition or trial:  $9,600 per day 

After hours fee:  $300

Ultrasound guided IV placement:  $325

Offsite surgery fee:  $2,500 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:  $110

Doctor letter to attorney:  $170

Other miscellaneous forms:  $20 per page

Caldwell Luc sinusotomy (aka antrostomy):  $800 per side

Includes sedation.

Coronoidectomy:  $1,000 per side

This surgery is typically done in the hospital & anesthesia is billed by the anesthesiologist who generally accepts your medical insurance.

Cutting a dental bridge: $400 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:  $650 per bar

This service is included if RCOMS placed the arch bar. Includes sedation.

Hardware removal:  $850 per site

Sedation is NOT included.

Treatment of a dry socket for extraction NOT done by RCOMS: $45

Treatment is with local anesthesia only if necessary, does not include sedation. Does not include the consultation fee.

These surgeries include sedation if done in the office.

Most of these surgeries will be done in an operating room in which case there is an additional $280 OR fee. Rounding on patient in the hospital is $200 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):  $3,150 per side

Mandibular intraoral vertical ramus osteotomy (IVRO):  $2,475 per side

Maxillary LeFort I osteotomy, 1 piece:  $6,975

Maxillary LeFort I osteotomy, 2 pieces:  $8,550

Maxillary LeFort I osteotomy, 3 pieces:  $9,600

Subapical osteotomy:  $6,000

Genioplasty (chin repositioning):  $3,150

Bone allograft (non-living) for orthognathic surgery:  $400 per osteotomy

Bone allograft (living bone from the patient) for orthognathic surgery:   $1,800 per osteotomy

These surgeries include sedation if done in the office.

Some of these surgeries will be done in an operating room in which case there is an additional $280 OR fee. Rounding on patient in the hospital is $200 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.

Apically positioned gingival flap:  $460

Crown lengthening:  $475 per tooth

Frenectomy, lip:  $390 per frenum 

Frenectomy, tongue:  $480 

Frenuloplasty: $1,200  

This surgery may have to be done in an operating room, especially on children.

Gingivectomy, first tooth:  $325

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

Maxillary sinus repair, simple:  $300

Usually a primary repair at the time of extraction.

Usually requires only a plug & suture, no significant tissue flaps.

Maxillary sinus repair, complex:  $1,000

Usually a secondary repair and requires local or regional flaps.

Nerve exploration and/or repair, simple:  $1,800

Nerve exploration and/or repair, complex:  $3,150

Pectoralis flap reconstruction:  $4,500

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

Scar revision:  $450 per centimeter of length

Vestibuloplasty:  $1,460 per jaw

Certain supplies have an additional fee.

These surgeries include sedation if done in the office.

Most of these surgeries will be done in an operating room in which case there is an additional $280 OR fee. Rounding on patient in the hospital is $200 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.

Sialodochoplasty: $1,400

Repositioning of the salivary duct

Sialolithotomy: $800

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

Excision of sublingual or submandibular gland:  $1,720 per gland

These surgeries include sedation if done in the office.

Some of these surgeries will be done in an operating room in which case there is an additional $280 OR fee. Rounding on patient in the hospital is $200 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.

Excision of a benign soft tissue lesion, simple:  $500

Single layer closure

Excision of a benign soft tissue lesion, intermediate:  $900

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:  $900

Enucleation or simple resection of a benign bony lesion:  $750

Additional fees for complicated closures such as sinus opening

Intermediate or complex resection of a benign bony lesion:  $3,3750

Resection of a soft tissue cancerous lesion, simple:  $1,350

Resection of a soft tissue cancerous lesion, intermediate:  $3,600

Resection of a soft tissue cancerous lesion, complex:  $6,200

Resection of a cancerous lesion in bone or requiring bone resection:  $9,800

Neck dissection prior to radiation:  $4,100

These surgeries include sedation if done in the office.

Most of these surgeries will be done in an operating room in which case there is an additional $280 OR fee. Rounding on patient in the hospital is $200 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.

Coronal or bicoronal flap for access:  $1,350

Allows access to the forehead and upper face for trauma or pathology surgery

Dentoalveolar fracture repair: $2,700 per fracture

Facial fracture, ORIF: $2,200 per fracture

Includes nose, maxilla, and ZMC.

Facial fracture, ORIF, complex, isolated: $4,500 per fracture

Includes isolated orbit, frontal bone, and zygomatic arch.

Facial fracture, ORIF, complex, multiple: $3,600 per fracture

Includes orbit, frontal bone, and zygomatic arch.

Laceration repair, simple: $680 per wound

Single layer closure up to 10cm length

Laceration repair, intermediate: $970 per wound

Multiple layer closure up to 10cm length

Laceration repair, complex: $1,350 per wound

Multiple layer and/or flap closure up to 10cm length

Laceration repair, any complexity, per centimeter after 10cm:  $80

Mandible fracture, maxillo-mandibular fixation (MMF):  $3,150 per fracture

Wiring the mouth closed to allow healing

Mandible fracture, maxillo-mandibular fixation (MMF) with open reduction: $3,375 per fracture

Wiring the mouth closed to allow healing

Mandible fracture, open reduction & internal fixation (ORIF), intraoral approach:  $2,850 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: $3,700 per fracture

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

Nasal fracture, closed reduction:  $1,350

We will remove four wisdom teeth for $1,200. We don’t need to see the x-rays. The type of impaction doesn’t matter. Four wisdom teeth = $1200!

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.