Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts);… (CPT 21155)
21155 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
63 of 4255 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Posted cash | Posted gross | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Washington County Hospital and Nursing Home likely a partial charge, not the full procedure |
Chatom, AL | $54.17 | — | $5,344.78 | 0.0× |
| Cedar-sinai Marina Del Rey Hospital range across 10 matching MRF lines |
Marina Del Rey, CA | $655.63–$18,447.52 | $1,008.66–$28,380.80 | $7,613.89 | varies |
| Cedars-sinai Medical Center range across 9 matching MRF lines |
Los Angeles, CA | $936.62–$24,184.55 | $1,440.95–$37,207 | $7,613.89 | varies |
| Unity Health - White County Medical Center likely a partial charge, not the full procedure |
Searcy, AR | $1,112.50 | $4,450 | $5,390.14 | 0.2× |
| Unity Health - Jacksonville likely a partial charge, not the full procedure |
Jacksonville, AR | $1,112.50 | $4,450 | $5,562.15 | 0.2× |
| Unity Health - Newport likely a partial charge, not the full procedure |
Newport, AR | $1,112.50 | $4,450 | $5,390.14 | 0.2× |
| Huntington Hospital range across 9 matching MRF lines |
Pasadena, CA | $1,147.80–$15,116.08 | $1,765.84–$23,255.50 | $7,613.89 | varies |
| Nacogdoches Memorial Hospital likely a partial charge, not the full procedure |
Nacogdoches, TX | $1,229 | $4,097 | $5,946.81 | 0.2× |
| Westfield Memorial Hospital, Inc likely a partial charge, not the full procedure |
Westfield, NY | $1,326.38 | $6,029 | $7,389.63 | 0.2× |
| Torrance Memorial Medical Center range across 7 matching MRF lines |
Torrance, CA | $1,589.98–$31,644.62 | $1,939–$38,591 | $7,613.89 | varies |
| East Carroll Parish Hospital unusually low: confirm this is the full procedure |
Lake Providence, LA | $1,803.75 | $2,405 | $5,389.78 | 0.3× |
| Sidney Health Center unusually low: confirm this is the full procedure |
Sidney, MT | $2,117.05 | $3,419 | $6,048.05 | 0.4× |
| Concord Hospital unusually low: confirm this is the full procedure |
Concord, NH | $2,218.80 | $7,396 | $6,320.94 | 0.4× |
| Concord Hospital – Laconia unusually low: confirm this is the full procedure |
Laconia, NH | $2,218.80 | $7,396 | $6,320.94 | 0.4× |
| Concord Hospital – Franklin unusually low: confirm this is the full procedure |
Franklin, NH | $2,218.80 | $7,396 | $6,320.94 | 0.4× |
| Bayside Community Hospital unusually low: confirm this is the full procedure |
Anahuac, TX | $2,380 | $2,380 | $5,946.81 | 0.4× |
| Vanderbilt Bedford Hospital unusually low: confirm this is the full procedure |
Shelbyville, TN | $2,565.63 | $8,847 | $5,652.87‡ | 0.5× |
| Vanderbilt Tullahoma-Harton Hospital unusually low: confirm this is the full procedure |
Tullahoma, TN | $2,565.63 | $8,847 | $5,619.85‡ | 0.5× |
| Vanderbilt Wilson County Hospital unusually low: confirm this is the full procedure |
Lebanon, TN | $2,565.63 | $8,847 | $5,679.36‡ | 0.5× |
| Artesia General Hospital unusually low: confirm this is the full procedure |
Artesia, NM | $2,671.80 | $4,453 | $5,860.44 | 0.5× |
| Nebraska Medical Center | Omaha, NE | $3,225.79 | $4,962.75 | $6,147.12 | 0.5× |
| Bellevue Medical Center | Bellevue, NE | $3,225.79 | $4,962.75 | $6,147.12 | 0.5× |
| Treasure Valley Hospital | Boise, ID | $3,260.40 | — | $5,981.28 | 0.5× |
| Lima Memorial Health System | Lima, OH | $3,284.10 | $3,649 | $5,652.51 | 0.6× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $3,353.40 | $3,726 | $6,244.73 | 0.5× |
| John H Stroger Jr Hospital | Chicago, IL | $3,638.60 | $5,198 | $6,343.80‡ | 0.6× |
| Provident Hospital of Chicago | Chicago, IL | $3,638.60 | $5,198 | $6,343.80‡ | 0.6× |
| Washington Regional Medical Center | Fayetteville, AR | $3,817.50 | $5,090 | $5,581.02 | 0.7× |
| MetroHealth System | Cleveland, OH | $3,896.25 | $11,132.14 | $5,600.62 | 0.7× |
| Hurley Medical Center | Flint, MI | $4,169 | $4,169 | $5,898.54 | 0.7× |
| DeSoto Regional Health System | Mansfield, LA | $4,263 | $6,090 | $5,360.39 | 0.8× |
| Titus Regional Medical Center | Mount Pleasant, TX | $4,368 | $7,280 | $5,946.81 | 0.7× |
| Vanderbilt University Hospital | Nashville, TN | $4,777.38 | $8,847 | $5,811.09‡ | 0.8× |
| Waverly Health Center | Waverly, IA | $4,791.80 | $9,215 | $5,690.97 | 0.8× |
| Montefiore Medical Center | Bronx, NY | $5,529.20 | $8,454.43 | $7,389.63 | 0.7× |
| Mt Sinai Hospital Medical Center | Chicago, IL | $5,678.79 | $8,112.56 | $6,343.80 | 0.9× |
| Holy Cross Hospital | Chicago, IL | $5,678.79 | $8,112.56 | $6,343.80 | 0.9× |
| Charleston Area Medical Center | Charleston, WV | $5,906 | $5,906 | $5,678.64 | 1.0× |
| CAMC Greenbrier Valley Medical Center | Ronceverte, WV | $5,977 | $5,977 | $5,678.64 | 1.1× |
| St. Joseph's Medical Center | Yonkers, NY | $6,048.05 | — | $7,389.63 | 0.8× |
| Erie County Medical Center | Buffalo, NY | $6,942.25 | — | $7,389.63 | 0.9× |
| Highland Hospital | Rochester, NY | $7,026.75 | — | $7,389.63 | 1.0× |
| Strong Memorial Hospital | Rochester, NY | $7,026.75 | — | $7,389.63 | 1.0× |
| Valleywise Health Medical Center | Phoenix, AZ | $7,264.49 | — | $6,316.95 | 1.1× |
| Hilton Head Medical Center | Hilton Head Island, SC | $7,288.80 | — | $5,505.90 | 1.3× |
| East Cooper Medical Center | Mount Pleasant, SC | $7,288.80 | — | $5,505.90 | 1.3× |
| Coastal Carolina Medical Center | Hardeeville, SC | $7,288.80 | — | $5,505.90 | 1.3× |
| Texas Scottish Rite Hospital For Children | Dallas, TX | $7,350 | $7,350 | $5,946.81 | 1.2× |
| Nyack Hospital | Nyack, NY | $7,389.63 | — | $7,389.63 | 1.0× |
| Montefiore St. Luke's Cornwall | Newburgh, NY | $7,389.63 | — | $7,389.63 | 1.0× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $7,401.56 | — | $5,679.36 | 1.3× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $8,139.99 | — | $5,898.54 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $8,139.99 | — | $5,898.54 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $8,139.99 | — | $5,898.54 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $8,139.99 | — | $5,898.54 | 1.4× |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $8,142.15 | $15,965 | $5,768.99 | 1.4× |
| Mercyhealth Fhn Hospital | Freeport, IL | $16,701.60 | $20,877 | $6,343.80 | 2.6× |
| Northwest Surgical Hospital | Oklahoma City, OK | $17,080.53 | — | $5,693.51 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $17,080.53 | — | $5,693.51 | 3.0× |
| Alaska Native Medical Center | Anchorage, AK | $20,870 | $20,870 | $6,569.88 | 3.2× |
| Omega Hospital | Metairie, LA | $22,351.37 | $38,316.63 | $5,556.71 | 4.0× |
| University of Kansas Hospital | Kansas City, KS | $59,830.50 | $299,152.49 | $5,526.95 | 10.8× |
| Graham Hospital Association | Canton, IL | — | $4,935.71 | $6,343.80 | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.
‡ Price taken from the hospital's inpatient list; no outpatient price posted.