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.
70 of 2639 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 | $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× |
| Nacogdoches Memorial Hospital likely a partial charge, not the full procedure |
Nacogdoches, TX | $559 | $1,863 | $5,946.81 | 0.1× |
| Memorial Medical Center likely a partial charge, not the full procedure |
Port Lavaca, TX | $675.57 | $965.10 | $5,946.81 | 0.1× |
| East Carroll Parish Hospital likely a partial charge, not the full procedure |
Lake Providence, LA | $760.50 | $1,014 | $5,389.78 | 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× |
| OU Health University of Oklahoma Medical Center likely a partial charge, not the full procedure |
Oklahoma City, OK | $1,035.18 | $10,351.83 | $5,693.51 | 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× |
| 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× |
| Spanish Peaks Regional Health Center likely a partial charge, not the full procedure |
Walsenburg, CO | $1,481.40 | $1,646 | $6,244.73 | 0.2× |
| DeSoto Regional Health System unusually low: confirm this is the full procedure |
Mansfield, LA | $1,729 | $2,470 | $5,360.39 | 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× |
| 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× |
| Jefferson Regional unusually low: confirm this is the full procedure |
Pine Bluff, AR | $2,201 | $2,201 | $5,508.44 | 0.4× |
| 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× |
| Texas Scottish Rite Hospital For Children | Dallas, TX | $3,334 | $3,334 | $5,946.81 | 0.6× |
| St. John's Medical Center | Jackson, WY | $3,799.50 | $3,799.50 | $6,048.05 | 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× |
| 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× |
| Memorial Hermann Houston Physicians Hospital | Webster, TX | $6,517.76 | $9,279 | $5,946.81 | 1.1× |
| 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× |
| 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× |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | $8,221.40 | $14,948 | $5,693.51 | 1.4× |
| Duncan Regional Hospital, Inc | Duncan, OK | $12,060.84 | — | $5,693.51 | 2.1× |
| Jackson Hospital | Montgomery, AL | $13,303.29 | $70,017.32 | $5,309.58‡ | 2.5× |
| 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× |
| 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× |
| Parkland Memorial Hospital | Dallas, TX | $19,661.24 | $49,153.09 | $5,946.81 | 3.3× |
| National Park Medical Center | Hot Springs, AR | — | $156,601.85 | $5,661.58‡ | — |
"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.