Recon bifron sup-lat orb rim/low forhd advanc/alt (egplag,tri,brach)w/wo gre(in (CPT 21175)
21175 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.
47 of 2110 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 | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Washington County Hospital and Nursing Home likely a partial charge, not the full procedure |
Chatom, AL | $54.17 | — | $5,102.01 | 0.0× |
| Unity Health - White County Medical Center likely a partial charge, not the full procedure |
Searcy, AR | $1,171.25 | $4,685 | $5,390.14 | 0.2× |
| Unity Health - Jacksonville likely a partial charge, not the full procedure |
Jacksonville, AR | $1,171.25 | $4,685 | $5,562.15 | 0.2× |
| Unity Health - Newport likely a partial charge, not the full procedure |
Newport, AR | $1,171.25 | $4,685 | $5,390.14 | 0.2× |
| Nacogdoches Memorial Hospital likely a partial charge, not the full procedure |
Nacogdoches, TX | $1,222 | $4,074 | $5,946.81 | 0.2× |
| Memorial Medical Center likely a partial charge, not the full procedure |
Port Lavaca, TX | $1,453.33 | $2,076.19 | $5,946.81 | 0.2× |
| East Carroll Parish Hospital unusually low: confirm this is the full procedure |
Lake Providence, LA | $1,693.50 | $2,258 | $5,389.78 | 0.3× |
| UK St. Claire Regional Medical Center unusually low: confirm this is the full procedure |
Morehead, KY | $1,968 | $2,624 | $5,730.53 | 0.3× |
| Nebraska Medical Center unusually low: confirm this is the full procedure |
Omaha, NE | $2,383.98 | $3,667.65 | $6,147.12 | 0.4× |
| Bellevue Medical Center unusually low: confirm this is the full procedure |
Bellevue, NE | $2,383.98 | $3,667.65 | $6,147.12 | 0.4× |
| Vanderbilt Bedford Hospital unusually low: confirm this is the full procedure |
Shelbyville, TN | $2,685.98 | $9,262 | $5,652.87 | 0.5× |
| Vanderbilt Tullahoma-Harton Hospital unusually low: confirm this is the full procedure |
Tullahoma, TN | $2,685.98 | $9,262 | $5,619.85 | 0.5× |
| Vanderbilt Wilson County Hospital unusually low: confirm this is the full procedure |
Lebanon, TN | $2,685.98 | $9,262 | $5,679.36 | 0.5× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $3,237.30 | $3,597 | $6,244.73 | 0.5× |
| DeSoto Regional Health System | Mansfield, LA | $3,916.50 | $5,595 | $5,360.39 | 0.7× |
| University of Kansas Hospital | Kansas City, KS | $4,097.45 | $20,487.27 | $5,526.95 | 0.7× |
| Titus Regional Medical Center | Mount Pleasant, TX | $4,408.20 | $7,347 | $5,946.81 | 0.7× |
| Summit Surgical, LLC | Hutchinson, KS | $4,696.04 | $5,870.05 | $5,444.21 | 0.9× |
| Vanderbilt University Hospital | Nashville, TN | $5,001.48 | $9,262 | $5,811.09 | 0.9× |
| The Hospital at Westlake Medical Center | Austin, TX | $5,012.88 | $29,306.02 | $5,946.81 | 0.8× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $5,289.89 | $8,816.49 | $5,946.81 | 0.9× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $5,289.89 | $8,816.49 | $5,946.81 | 0.9× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $5,289.89 | $8,816.49 | $5,946.81 | 0.9× |
| Scott & White Hospital-round Rock | Round Rock, TX | $5,289.89 | $8,816.49 | $5,946.81 | 0.9× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $5,289.89 | $8,816.49 | $5,946.81 | 0.9× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $5,289.89 | $8,816.49 | $5,946.81 | 0.9× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $5,289.89 | $8,816.49 | $5,946.81 | 0.9× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $5,289.89 | $8,816.49 | $5,946.81 | 0.9× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $5,289.89 | $8,816.49 | $5,946.81 | 0.9× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $5,289.89 | $8,816.49 | $5,946.81 | 0.9× |
| Northwest Hills Surgical Hospital | Austin, TX | $5,657.40 | $15,715 | $5,946.81 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $5,938.02 | — | $6,181.95 | 1.0× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $6,495.68 | — | $5,375.99 | 1.2× |
| Griffin Hospital | Derby, CT | $7,072.05 | — | $7,096.78 | 1.0× |
| Valleywise Health Medical Center | Phoenix, AZ | $7,264.49 | — | $6,316.95 | 1.1× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $7,401.56 | — | $5,679.36 | 1.3× |
| Foothills Hospital | Boulder, CO | $7,435 | $14,870 | $6,314.04 | 1.2× |
| Texas Scottish Rite Hospital For Children | Dallas, TX | $7,578 | $7,578 | $5,946.81 | 1.3× |
| 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× |
| Midwest Surgical Hospital LLC | Omaha, NE | $8,983.50 | $11,978 | $6,147.12 | 1.5× |
| Duncan Regional Hospital, Inc | Duncan, OK | $12,060.84 | — | $5,693.51 | 2.1× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $13,511.72 | $13,511.72 | $5,946.81 | 2.3× |
| Omega Hospital | Metairie, LA | $15,928.36 | $27,305.74 | $5,556.71 | 2.9× |
| 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× |
"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.