Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)… (CPT 21395)
21395 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.
152 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× |
| Unity Health - White County Medical Center likely a partial charge, not the full procedure |
Searcy, AR | $478.50 | $1,914 | $5,390.14 | 0.1× |
| Unity Health - Jacksonville likely a partial charge, not the full procedure |
Jacksonville, AR | $478.50 | $1,914 | $5,562.15 | 0.1× |
| Unity Health - Newport likely a partial charge, not the full procedure |
Newport, AR | $478.50 | $1,914 | $5,390.14 | 0.1× |
| Lutheran Kosciusko Hospital likely a partial charge, not the full procedure |
Warsaw, IN | $539.28 | $2,568 | $6,263.24 | 0.1× |
| Nacogdoches Memorial Hospital likely a partial charge, not the full procedure |
Nacogdoches, TX | $559 | $1,863 | $5,946.81 | 0.1× |
| Lutheran Downtown Hospital likely a partial charge, not the full procedure |
Fort Wayne, IN | $616.32 | $2,568 | $6,263.24 | 0.1× |
| Bluffton Regional Medical Center likely a partial charge, not the full procedure |
Bluffton, IN | $616.32 | $2,568 | $6,263.24 | 0.1× |
| Westfield Memorial Hospital, Inc likely a partial charge, not the full procedure |
Westfield, NY | $620.84 | $2,822 | $7,389.63 | 0.1× |
| 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 |
| Dupont Hospital LLC likely a partial charge, not the full procedure |
Fort Wayne, IN | $693.36 | $2,568 | $6,263.24 | 0.1× |
| The Orthopaedic Hospital of Lutheran Health Network likely a partial charge, not the full procedure |
Fort Wayne, IN | $693.36 | $2,568 | $6,263.24 | 0.1× |
| University of Michigan Health - Sparrow Carson range across 2 matching MRF lines |
Carson City, MI | $727–$1,012.50 | $1,454–$2,025 | $5,898.54 | varies |
| University of Michigan Health - Sparrow Lansing range across 2 matching MRF lines |
Lansing, MI | $727–$1,012.50 | $1,454–$2,025 | $5,898.54 | varies |
| University of Michigan Health - Sparrow Clinton range across 2 matching MRF lines |
Saint Johns, MI | $727–$1,012.50 | $1,454–$2,025 | $5,898.54 | varies |
| University of Michigan Health - Sparrow Eaton range across 2 matching MRF lines |
Charlotte, MI | $727–$1,012.50 | $1,454–$2,025 | $5,898.54 | varies |
| University of Michigan Health - Sparrow Ionia range across 2 matching MRF lines |
Ionia, MI | $727–$1,012.50 | $1,454–$2,025 | $5,898.54 | varies |
| East Carroll Parish Hospital likely a partial charge, not the full procedure |
Lake Providence, LA | $760.50 | $1,014 | $5,389.78 | 0.1× |
| Lutheran Hospital of Indiana likely a partial charge, not the full procedure |
Fort Wayne, IN | $770.40 | $2,568 | $6,263.24 | 0.1× |
| UK St. Claire Regional Medical Center likely a partial charge, not the full procedure |
Morehead, KY | $898.50 | $1,198 | $5,730.53 | 0.2× |
| Concord Hospital likely a partial charge, not the full procedure |
Concord, NH | $926.40 | $3,088 | $6,320.94 | 0.1× |
| Concord Hospital – Laconia likely a partial charge, not the full procedure |
Laconia, NH | $926.40 | $3,088 | $6,320.94 | 0.1× |
| Concord Hospital – Franklin likely a partial charge, not the full procedure |
Franklin, NH | $926.40 | $3,088 | $6,320.94 | 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 |
| O'connor Hospital likely a partial charge, not the full procedure |
Delhi, NY | $954.99 | $3,537 | $7,389.63 | 0.1× |
| Little Falls Hospital likely a partial charge, not the full procedure |
Little Falls, NY | $954.99 | $3,537 | $7,389.63 | 0.1× |
| Cobleskill Regional Hospital likely a partial charge, not the full procedure |
Cobleskill, NY | $954.99 | $3,537 | $7,389.63 | 0.1× |
| Bayside Community Hospital likely a partial charge, not the full procedure |
Anahuac, TX | $1,039 | $1,039 | $5,946.81 | 0.2× |
| Vanderbilt Bedford Hospital likely a partial charge, not the full procedure |
Shelbyville, TN | $1,139.70 | $3,930 | $5,652.87 | 0.2× |
| Vanderbilt Tullahoma-Harton Hospital likely a partial charge, not the full procedure |
Tullahoma, TN | $1,139.70 | $3,930 | $5,619.85 | 0.2× |
| Vanderbilt Wilson County Hospital likely a partial charge, not the full procedure |
Lebanon, TN | $1,139.70 | $3,930 | $5,679.36 | 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 |
| Artesia General Hospital likely a partial charge, not the full procedure |
Artesia, NM | $1,234.20 | $2,057 | $5,860.44 | 0.2× |
| Dukes Memorial Hospital likely a partial charge, not the full procedure |
Peru, IN | $1,284 | $2,568 | $6,263.24 | 0.2× |
| Baylor Scott and White Surgical Hospital Las Colin likely a partial charge, not the full procedure |
Irving, TX | $1,293.60 | $2,156 | $5,946.81 | 0.2× |
| Mt Sinai Hospital Medical Center likely a partial charge, not the full procedure |
Chicago, IL | $1,572.20 | $2,246 | $6,343.80 | 0.2× |
| Holy Cross Hospital likely a partial charge, not the full procedure |
Chicago, IL | $1,572.20 | $2,246 | $6,343.80 | 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 |
| Washington Regional Medical Center likely a partial charge, not the full procedure |
Fayetteville, AR | $1,620.75 | $2,161 | $5,581.02 | 0.3× |
| Spanish Peaks Regional Health Center likely a partial charge, not the full procedure |
Walsenburg, CO | $1,628.10 | $1,809 | $6,244.73 | 0.3× |
| DeSoto Regional Health System unusually low: confirm this is the full procedure |
Mansfield, LA | $1,729 | $2,470 | $5,360.39 | 0.3× |
| Sidney Health Center likely a partial charge, not the full procedure |
Sidney, MT | $1,736.86 | $2,805 | $6,048.05 | 0.3× |
| John H Stroger Jr Hospital likely a partial charge, not the full procedure |
Chicago, IL | $1,779.40 | $2,542 | $6,343.80 | 0.3× |
| Provident Hospital of Chicago likely a partial charge, not the full procedure |
Chicago, IL | $1,779.40 | $2,542 | $6,343.80 | 0.3× |
| Altru Hospital range across 2 matching MRF lines |
Grand Forks, ND | $1,800.72–$1,925.16 | $2,952–$3,156 | $6,048.05 | varies |
| Hurley Medical Center unusually low: confirm this is the full procedure |
Flint, MI | $1,914 | $1,914 | $5,898.54 | 0.3× |
| Tops Surgical Specialty Hospital unusually low: confirm this is the full procedure |
Houston, TX | $1,923.25 | $5,495 | $5,946.81 | 0.3× |
| Waverly Health Center unusually low: confirm this is the full procedure |
Waverly, IA | $1,995.24 | $3,837 | $5,690.97 | 0.4× |
| North Central Kansas Medical Center unusually low: confirm this is the full procedure |
Concordia, KS | $2,077.18 | $2,967.40 | $5,444.21 | 0.4× |
| 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× |
| Nebraska Medical Center unusually low: confirm this is the full procedure |
Omaha, NE | $2,081.63 | $3,202.50 | $6,147.12 | 0.3× |
| Bellevue Medical Center unusually low: confirm this is the full procedure |
Bellevue, NE | $2,081.63 | $3,202.50 | $6,147.12 | 0.3× |
| Titus Regional Medical Center unusually low: confirm this is the full procedure |
Mount Pleasant, TX | $2,094 | $3,490 | $5,946.81 | 0.4× |
| Vanderbilt University Hospital unusually low: confirm this is the full procedure |
Nashville, TN | $2,122.20 | $3,930 | $5,811.09 | 0.4× |
| MetroHealth System unusually low: confirm this is the full procedure |
Cleveland, OH | $2,160.82 | $6,173.76 | $5,600.62 | 0.4× |
| Jefferson Regional unusually low: confirm this is the full procedure |
Pine Bluff, AR | $2,201 | $2,201 | $5,508.44 | 0.4× |
| Montefiore Medical Center unusually low: confirm this is the full procedure |
Bronx, NY | $2,464.79 | $3,768.79 | $7,389.63 | 0.3× |
| St. John's Medical Center range across 2 matching MRF lines |
Jackson, WY | $2,533–$5,066 | $2,533–$5,066 | $6,048.05 | varies |
| Astria Toppenish Hospital unusually low: confirm this is the full procedure |
Toppenish, WA | $2,568.15 | $3,951 | $6,596.73 | 0.4× |
| Baylor Medical Center at Trophy Club unusually low: confirm this is the full procedure |
Trophy Club, TX | $2,658 | $4,430 | $5,946.81 | 0.4× |
| Charleston Area Medical Center unusually low: confirm this is the full procedure |
Charleston, WV | $2,753 | $2,753 | $5,678.64 | 0.5× |
| CAMC Greenbrier Valley Medical Center unusually low: confirm this is the full procedure |
Ronceverte, WV | $2,804 | $2,804 | $5,678.64 | 0.5× |
| Memorial Hospital | Abilene, KS | $2,967.40 | $2,967.40 | $5,444.21 | 0.5× |
| Crystal Clinic Orthopaedic Center | Akron, OH | $3,072 | $4,096 | $5,611.14 | 0.5× |
| Texas Scottish Rite Hospital For Children | Dallas, TX | $3,334 | $3,334 | $5,946.81 | 0.6× |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $3,747.48 | $7,348 | $5,768.99 | 0.6× |
| Park Place Surgical Hospital | Lafayette, LA | $5,256.97 | $13,550.33 | $5,360.39 | 1.0× |
| 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× |
| Mercyhealth Fhn Hospital | Freeport, IL | $5,798.40 | $7,248 | $6,343.80 | 0.9× |
| 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× |
| 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× |
| Memorial Hermann Houston Physicians Hospital | Webster, TX | $6,517.76 | $9,279 | $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× |
| 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× |
| 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× |
| Treasure Valley Hospital | Boise, ID | $8,017.53 | — | $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× |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | $8,221.40 | $14,948 | $5,693.51 | 1.4× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $8,963.81 | — | $6,048.05 | 1.5× |
| 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× |
| Erie County Medical Center | Buffalo, NY | $9,882 | — | $7,389.63 | 1.3× |
| Ohio Valley Surgical Hospital | Springfield, OH | $10,111.20 | $16,852 | $5,832.86 | 1.7× |
| Alaska Native Medical Center | Anchorage, AK | $10,248 | $10,248 | $6,569.88 | 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× |
| Oakleaf Surgical Hospital | Altoona, WI | $13,023.54 | $14,470.60 | $5,892.37 | 2.2× |
| Jackson Hospital | Montgomery, AL | $13,303.29 | $70,017.32 | $5,309.58‡ | 2.5× |
| Sioux Falls Specialty Hospital LLP | Sioux Falls, SD | $14,433.07 | $19,244.09 | $6,048.05 | 2.4× |
| 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× |
| 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× |
| Parkland Memorial Hospital | Dallas, TX | $19,661.24 | $49,153.09 | $5,946.81 | 3.3× |
| Goshen Hospital | Goshen, IN | $36,297.08 | $51,852.97 | $6,263.24‡ | 5.8× |
| Graham Hospital Association | Canton, IL | — | $2,063.28 | $6,343.80 | — |
| National Park Medical Center | Hot Springs, AR | — | $156,601.85 | $5,661.58‡ | — |
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.