Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts… (CPT 21172)
21172 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.
145 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 |
| Unity Health - White County Medical Center likely a partial charge, not the full procedure |
Searcy, AR | $898 | $3,592 | $5,390.14 | 0.2× |
| Unity Health - Jacksonville likely a partial charge, not the full procedure |
Jacksonville, AR | $898 | $3,592 | $5,562.15 | 0.2× |
| Unity Health - Newport likely a partial charge, not the full procedure |
Newport, AR | $898 | $3,592 | $5,390.14 | 0.2× |
| O'connor Hospital likely a partial charge, not the full procedure |
Delhi, NY | $917.19 | $3,397 | $7,389.63 | 0.1× |
| Little Falls Hospital likely a partial charge, not the full procedure |
Little Falls, NY | $917.19 | $3,397 | $7,389.63 | 0.1× |
| Cobleskill Regional Hospital likely a partial charge, not the full procedure |
Cobleskill, NY | $917.19 | $3,397 | $7,389.63 | 0.1× |
| 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 |
| OU Health University of Oklahoma Medical Center range across 2 matching MRF lines |
Oklahoma City, OK | $951.29–$1,664.90 | $9,512.90–$16,649 | $5,693.51 | varies |
| Nacogdoches Memorial Hospital likely a partial charge, not the full procedure |
Nacogdoches, TX | $1,141 | $3,803 | $5,946.81 | 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 |
| Westfield Memorial Hospital, Inc likely a partial charge, not the full procedure |
Westfield, NY | $1,309.66 | $5,953 | $7,389.63 | 0.2× |
| East Carroll Parish Hospital likely a partial charge, not the full procedure |
Lake Providence, LA | $1,357.50 | $1,810 | $5,389.78 | 0.3× |
| UK St. Claire Regional Medical Center range across 2 matching MRF lines |
Morehead, KY | $1,431.75–$3,141.75 | $1,909–$4,189 | $5,730.53 | varies |
| 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 |
| Concord Hospital likely a partial charge, not the full procedure |
Concord, NH | $1,776.90 | $5,923 | $6,320.94 | 0.3× |
| Concord Hospital – Laconia likely a partial charge, not the full procedure |
Laconia, NH | $1,776.90 | $5,923 | $6,320.94 | 0.3× |
| Concord Hospital – Franklin likely a partial charge, not the full procedure |
Franklin, NH | $1,776.90 | $5,923 | $6,320.94 | 0.3× |
| Bayside Community Hospital unusually low: confirm this is the full procedure |
Anahuac, TX | $1,977 | $1,977 | $5,946.81 | 0.3× |
| Baylor Scott and White Medical Center Uptown unusually low: confirm this is the full procedure |
Dallas, TX | $2,078.40 | $3,464 | $5,946.81 | 0.3× |
| Vanderbilt Bedford Hospital unusually low: confirm this is the full procedure |
Shelbyville, TN | $2,090.32 | $7,208 | $5,652.87 | 0.4× |
| Vanderbilt Tullahoma-Harton Hospital unusually low: confirm this is the full procedure |
Tullahoma, TN | $2,090.32 | $7,208 | $5,619.85 | 0.4× |
| Vanderbilt Wilson County Hospital unusually low: confirm this is the full procedure |
Lebanon, TN | $2,090.32 | $7,208 | $5,679.36 | 0.4× |
| North Central Surgical Center Llp unusually low: confirm this is the full procedure |
Dallas, TX | $2,383.20 | $3,972 | $5,946.81‡ | 0.4× |
| Baylor Scott and White Surgical Hospital Fortworth unusually low: confirm this is the full procedure |
Fort Worth, TX | $2,531.40 | $4,219 | $5,956.60 | 0.4× |
| Washington Regional Medical Center | Fayetteville, AR | $3,044.25 | $4,059 | $5,581.02 | 0.5× |
| Kaiser Foundation Hospital - Panorama City unusually low: confirm this is the full procedure |
Panorama City, CA | $3,161.60 | $6,080 | $7,613.89 | 0.4× |
| Kaiser Foundation Hospital - Los Angeles unusually low: confirm this is the full procedure |
Los Angeles, CA | $3,161.60 | $6,080 | $7,613.89 | 0.4× |
| Kaiser Foundation Hospital - Downey unusually low: confirm this is the full procedure |
Downey, CA | $3,161.60 | $6,080 | $7,613.89 | 0.4× |
| Kaiser Foundation Hospital Fontana unusually low: confirm this is the full procedure |
Fontana, CA | $3,161.60 | $6,080 | $7,613.89 | 0.4× |
| Kaiser Foundation Hospital - South Bay unusually low: confirm this is the full procedure |
Harbor City, CA | $3,161.60 | $6,080 | $7,613.89 | 0.4× |
| Kaiser Foundation Hospital - Zion unusually low: confirm this is the full procedure |
San Diego, CA | $3,161.60 | $6,080 | $7,613.89 | 0.4× |
| Kaiser Foundation Hospital - West La unusually low: confirm this is the full procedure |
Los Angeles, CA | $3,161.60 | $6,080 | $7,613.89 | 0.4× |
| Kaiser Foundation Hospital - Orange County - Anahe unusually low: confirm this is the full procedure |
Anaheim, CA | $3,161.60 | $6,080 | $7,613.89 | 0.4× |
| Kaiser Foundation Hospital - Woodland Hills unusually low: confirm this is the full procedure |
Woodland Hills, CA | $3,161.60 | $6,080 | $7,613.89 | 0.4× |
| Kaiser Foundation Hospital, Riverside unusually low: confirm this is the full procedure |
Riverside, CA | $3,161.60 | $6,080 | $7,613.89 | 0.4× |
| Kaiser Foundation Hospital - Baldwin Park unusually low: confirm this is the full procedure |
Baldwin Park, CA | $3,161.60 | $6,080 | $7,613.89 | 0.4× |
| Kaiser Foundation Hospital-moreno Valley unusually low: confirm this is the full procedure |
Moreno Valley, CA | $3,161.60 | $6,080 | $7,613.89 | 0.4× |
| Kaiser Foundation Hospital - San Marcos unusually low: confirm this is the full procedure |
San Marcos, CA | $3,161.60 | $6,080 | $7,613.89 | 0.4× |
| DeSoto Regional Health System | Mansfield, LA | $3,237.50 | $4,625 | $5,360.39 | 0.6× |
| Sidney Health Center | Sidney, MT | $3,247.09 | $5,244 | $6,048.05 | 0.5× |
| Nebraska Medical Center | Omaha, NE | $3,347.70 | $5,150.30 | $6,147.12 | 0.5× |
| Bellevue Medical Center | Bellevue, NE | $3,347.70 | $5,150.30 | $6,147.12 | 0.5× |
| Hurley Medical Center | Flint, MI | $3,624 | $3,624 | $5,898.54 | 0.6× |
| Astria Toppenish Hospital | Toppenish, WA | $3,679 | $5,660 | $6,596.73 | 0.6× |
| Tops Surgical Specialty Hospital | Houston, TX | $3,690.75 | $10,545 | $5,946.81 | 0.6× |
| Waverly Health Center | Waverly, IA | $3,699.28 | $7,114 | $5,690.97 | 0.7× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $3,717 | $4,130 | $6,244.73 | 0.6× |
| MetroHealth System | Cleveland, OH | $3,823.40 | $10,924 | $5,600.62 | 0.7× |
| Vanderbilt University Hospital | Nashville, TN | $3,892.32 | $7,208 | $5,811.09 | 0.7× |
| Mt Sinai Hospital Medical Center | Chicago, IL | $3,980.53 | $5,686.47 | $6,343.80 | 0.6× |
| Holy Cross Hospital | Chicago, IL | $3,980.53 | $5,686.47 | $6,343.80 | 0.6× |
| Blessing Hospital | Quincy, IL | $4,199.63 | $6,999.38 | $6,343.80 | 0.7× |
| Titus Regional Medical Center | Mount Pleasant, TX | $4,218.60 | $7,031 | $5,946.81 | 0.7× |
| John H Stroger Jr Hospital | Chicago, IL | $4,554.90 | $6,507 | $6,343.80 | 0.7× |
| Provident Hospital of Chicago | Chicago, IL | $4,554.90 | $6,507 | $6,343.80 | 0.7× |
| St. John's Medical Center | Jackson, WY | $4,798 | $4,798 | $6,048.05 | 0.8× |
| Charleston Area Medical Center | Charleston, WV | $4,869 | $4,869 | $5,678.64 | 0.9× |
| Northwest Hills Surgical Hospital | Austin, TX | $5,657.40 | $15,715 | $5,946.81 | 1.0× |
| Erie County Medical Center | Buffalo, NY | $5,740.91 | — | $7,389.63 | 0.8× |
| CAMC Greenbrier Valley Medical Center | Ronceverte, WV | $5,929 | $5,929 | $5,678.64 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $5,938.02 | — | $6,181.95 | 1.0× |
| St. Joseph's Medical Center | Yonkers, NY | $6,048.05 | — | $7,389.63 | 0.8× |
| Texas Scottish Rite Hospital For Children | Dallas, TX | $6,110 | $6,110 | $5,946.81 | 1.0× |
| Lima Memorial Health System | Lima, OH | $6,382.80 | $7,092 | $5,652.51 | 1.1× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $6,495.68 | — | $5,375.99 | 1.2× |
| Virginia Mason Medical Center | Seattle, WA | $6,523.41 | $12,791 | $6,874.33 | 0.9× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $6,612.37 | $11,020.62 | $5,946.81 | 1.1× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $6,612.37 | $11,020.62 | $5,946.81 | 1.1× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $6,612.37 | $11,020.62 | $5,946.81 | 1.1× |
| Scott & White Hospital-round Rock | Round Rock, TX | $6,612.37 | $11,020.62 | $5,946.81 | 1.1× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $6,612.37 | $11,020.62 | $5,946.81 | 1.1× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $6,612.37 | $11,020.62 | $5,946.81 | 1.1× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $6,612.37 | $11,020.62 | $5,946.81 | 1.1× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $6,612.37 | $11,020.62 | $5,946.81 | 1.1× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $6,612.37 | $11,020.62 | $5,946.81 | 1.1× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $6,612.37 | $11,020.62 | $5,946.81 | 1.1× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Jacobi Medical Center | Bronx, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Elmhurst Hospital Center | Elmhurst, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Metropolitan Hospital Center | New York, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Kings County Hospital Center | Brooklyn, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Bellevue Hospital Center | New York, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Queens Hospital Center | Jamaica, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Harlem Hospital Center | New York, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $7,000.36 | — | $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× |
| Griffin Hospital | Derby, CT | $7,072.05 | — | $7,096.78 | 1.0× |
| Marinhealth Medical Center | Greenbrae, CA | $7,163.46 | $11,939.10 | $8,396.63 | 0.9× |
| Valleywise Health Medical Center | Phoenix, AZ | $7,264.49 | — | $6,316.95 | 1.1× |
| 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× |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $7,862.16 | $15,416 | $5,768.99 | 1.4× |
| Treasure Valley Hospital | Boise, ID | $8,017.53 | $8,339 | $5,981.28 | 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× |
| Hilton Head Medical Center | Hilton Head Island, SC | $8,912.72 | — | $5,505.90 | 1.6× |
| East Cooper Medical Center | Mount Pleasant, SC | $8,912.72 | — | $5,505.90 | 1.6× |
| Coastal Carolina Medical Center | Hardeeville, SC | $8,912.72 | — | $5,505.90 | 1.6× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $8,963.81 | — | $6,048.05 | 1.5× |
| Mercyhealth Fhn Hospital | Freeport, IL | $9,040 | $11,300 | $6,343.80 | 1.4× |
| Parkland Memorial Hospital | Dallas, TX | $9,131.33 | $22,828.32 | $5,946.81 | 1.5× |
| Doctors Hosptal at Renaissance range across 2 matching MRF lines |
Edinburg, TX | $9,422.15–$15,341.87 | $9,422.15–$15,341.87 | $5,946.81 | varies |
| Omega Hospital range across 2 matching MRF lines |
Metairie, LA | $9,505.34–$22,351.37 | $16,294.86–$38,316.63 | $5,556.71 | varies |
| McKenzie County Healthcare Systems Inc | Watford City, ND | $9,579.05 | $14,737 | $6,048.05 | 1.6× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $11,933.60 | $21,310 | $8,595.49 | 1.4× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $11,933.60 | $21,310 | $8,557.02 | 1.4× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $11,933.60 | $21,310 | $8,405.34 | 1.4× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $11,933.60 | $21,310 | $8,697.10 | 1.4× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $11,933.60 | $21,310 | $8,659.72 | 1.4× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $11,933.60 | $21,310 | $8,557.02 | 1.4× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $11,933.60 | $21,310 | $8,405.34 | 1.4× |
| Kaiser Foundation Hospital | San Rafael, CA | $11,933.60 | $21,310 | $8,396.63 | 1.4× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $11,933.60 | $21,310 | $8,557.02 | 1.4× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $11,933.60 | $21,310 | $8,595.49 | 1.4× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $11,933.60 | $21,310 | $8,707.26 | 1.4× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $11,933.60 | $21,310 | $8,405.34 | 1.4× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $11,933.60 | $21,310 | $8,140.43 | 1.5× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $11,933.60 | $21,310 | $7,613.89 | 1.6× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $11,933.60 | $21,310 | $8,295.38 | 1.4× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $11,933.60 | $21,310 | $8,359.25 | 1.4× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $11,933.60 | $21,310 | $8,697.10 | 1.4× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $11,933.60 | $21,310 | $7,682.84 | 1.6× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $11,933.60 | $21,310 | $8,558.11 | 1.4× |
| Duncan Regional Hospital, Inc | Duncan, OK | $12,060.84 | — | $5,693.51 | 2.1× |
| St. Luke's Magic Valley Medical Center | Twin Falls, ID | $15,519 | $15,519 | $6,171.07 | 2.5× |
| St. Luke's Boise Medical Center | Boise, ID | $15,519 | $15,519 | $6,392.06 | 2.4× |
| St. Luke's Nampa Medical Center | Nampa, ID | $15,519 | $15,519 | $5,981.28 | 2.6× |
| St. Luke's Jerome Medical Center | Jerome, ID | $15,519 | $15,519 | $5,874.23 | 2.6× |
| St. Luke's Elmore Medical Center | Mountain Home, ID | $15,519 | $15,519 | $5,848.46 | 2.7× |
| St. Luke's McCall Medical Center | McCall, ID | $15,519 | $15,519 | $5,848.46 | 2.7× |
| St. Luke's Wood River Medical Center | Ketchum, ID | $15,519 | $15,519 | $5,848.46 | 2.7× |
| Sioux Falls Specialty Hospital LLP | Sioux Falls, SD | $15,611.17 | $20,814.89 | $6,048.05 | 2.6× |
| Alaska Native Medical Center | Anchorage, AK | $16,865 | $16,865 | $6,569.88 | 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× |
| Montefiore Medical Center | Bronx, NY | $17,952.30 | $27,450 | $7,389.63 | 2.4× |
| Tallahassee Memorial Hospital | Tallahassee, FL | $28,163.67 | $40,233.81 | $6,181.95 | 4.6× |
| Graham Hospital Association | Canton, IL | — | $4,417.24 | $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.