Closed tx fx orbit except blowout w/manipulation (CPT 21401)
21401 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.
123 of 2110 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
Compare interactively: search all codes, set your location →
| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $1,337.23 | 0.0× |
| Cheyenne County Hospital | St. Francis, KS | $203.17 | $239.02 | $1,426.92 | 0.1× |
| Unity Health - White County Medical Center | Searcy, AR | $232.25 | $929 | $1,412.75 | 0.2× |
| Unity Health - Jacksonville | Jacksonville, AR | $232.25 | $929 | $1,457.84 | 0.2× |
| Unity Health - Newport | Newport, AR | $232.25 | $929 | $1,412.75 | 0.2× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $294 | $980 | $1,558.65 | 0.2× |
| Memorial Medical Center | Port Lavaca, TX | $329.20 | $470.29 | $1,558.65 | 0.2× |
| East Carroll Parish Hospital | Lake Providence, LA | $365.25 | $487 | $1,412.66 | 0.3× |
| Dorminy Medical Center | Fitzgerald, GA | $496.25 | $992.50 | $1,359.68 | 0.4× |
| West Feliciana Hospital | St. Francisville, LA | $543.69 | $906.15 | $1,404.95 | 0.4× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $546.65 | $1,885 | $1,481.61 | 0.4× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $546.65 | $1,885 | $1,472.96 | 0.4× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $546.65 | $1,885 | $1,488.56 | 0.4× |
| Baylor Scott & White Texas Spine & Joint Hospital | Tyler, TX | $646.80 | $1,078 | $1,558.65 | 0.4× |
| Duke University Hospital | Durham, NC | $683.10 | $2,530 | $1,543.91 | 0.4× |
| University Health System | San Antonio, TX | $726.50 | $2,906 | $1,558.65 | 0.5× |
| AnMed Cannon | Pickens, SC | $750 | $1,500 | $1,482.47 | 0.5× |
| AnMed Medical Center | Anderson, SC | $750 | $1,500 | $1,443.09 | 0.5× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $772.20 | $858 | $1,636.74 | 0.5× |
| Saint Francis Hospital Muskogee | Muskogee, OK | $775.58 | $1,938.95 | $1,492.27 | 0.5× |
| Saint Francis Hospital, Inc | Tulsa, OK | $775.58 | $1,938.95 | $1,492.27 | 0.5× |
| Saint Francis Hospital South, LLC | Tulsa, OK | $775.58 | $1,938.95 | $1,492.27 | 0.5× |
| Saint Francis Hospital Vinita, Inc | Vinita, OK | $775.58 | $1,938.95 | $1,492.27 | 0.5× |
| Memorial Hermann Surgical Hospital Kingwood | Kingwood, TX | $780.50 | $2,230 | $1,558.65 | 0.5× |
| DeSoto Regional Health System | Mansfield, LA | $791 | $1,130 | $1,404.95 | 0.6× |
| Sugar Land Surgical Hospital Llp | Sugar Land, TX | $793.20 | $1,322 | $1,558.65 | 0.5× |
| Baylor Medical Center at Trophy Club | Trophy Club, TX | $807.60 | $1,346 | $1,558.65 | 0.5× |
| Tops Surgical Specialty Hospital | Houston, TX | $809.20 | $2,312 | $1,558.65 | 0.5× |
| CommonSpirit Saint Joseph Medical Center - East Lexington | Lexington, KY | $876.06 | $2,181 | $1,515.28 | 0.6× |
| Nebraska Medical Center | Omaha, NE | $904.35 | $1,391.30 | $1,611.16 | 0.6× |
| Bellevue Medical Center | Bellevue, NE | $904.35 | $1,391.30 | $1,611.16 | 0.6× |
| Baylor Scott and White Surgical Hospital Las Colin | Irving, TX | $919.80 | $1,533 | $1,558.65 | 0.6× |
| Mizell Memorial Hospital | Opp, AL | $943.20 | $1,048 | $1,337.23 | 0.7× |
| Titus Regional Medical Center | Mount Pleasant, TX | $988.20 | $1,647 | $1,558.65 | 0.6× |
| Washington Regional Medical Center | Plymouth, NC | $994 | $1,988 | $1,483.04‡ | 0.7× |
| Neosho Memorial Regional Medical Center | Chanute, KS | $996.26 | $1,328.35 | $1,426.92 | 0.7× |
| North Central Surgical Center Llp | Dallas, TX | $1,002.60 | $1,671 | $1,558.65‡ | 0.6× |
| Mena Regional Health System | Mena, AR | $1,014 | $1,690 | $1,412.75 | 0.7× |
| Vanderbilt University Hospital | Nashville, TN | $1,017.90 | $1,885 | $1,523.08 | 0.7× |
| CommonSpirit Saint Joseph Hospital - Lexington | Lexington, KY | $1,027.44 | $2,181 | $1,515.28 | 0.7× |
| Texas Scottish Rite Hospital For Children | Dallas, TX | $1,033 | $1,033 | $1,558.65 | 0.7× |
| Baylor Scott and White Medical Center Uptown | Dallas, TX | $1,071 | $1,785 | $1,558.65 | 0.7× |
| North Central Kansas Medical Center | Concordia, KS | $1,071.07 | $1,530.10 | $1,426.92 | 0.8× |
| Jefferson Regional | Pine Bluff, AR | $1,074 | $1,074 | $1,443.76 | 0.7× |
| Prisma Health Blount Memorial Hospital | Maryville, TN | $1,148.55 | $3,705 | $1,480.38 | 0.8× |
| HonorHealth John C. Lincoln Medical Center | Phoenix, AZ | $1,159 | $1,159 | $1,655.67 | 0.7× |
| HonorHealth Tempe Medical Center | Tempe, AZ | $1,159 | $1,159 | $1,655.67 | 0.7× |
| HonorHealth Scottsdale Osborn Medical Center | Scottsdale, AZ | $1,159 | $1,159 | $1,655.67 | 0.7× |
| HonorHealth Scottsdale Shea Medical Center | Scottsdale, AZ | $1,159 | $1,159 | $1,655.67 | 0.7× |
| HonorHealth Deer Valley Medical Center | Phoenix, AZ | $1,159 | $1,159 | $1,655.67 | 0.7× |
| HonorHealth Four Peaks Medical Center | Mesa, AZ | $1,159 | $1,159 | $1,655.67 | 0.7× |
| HonorHealth Scottsdale Thompson Peak Medical Center | Scottsdale, AZ | $1,159 | $1,159 | $1,655.67 | 0.7× |
| HonorHealth Sonoran Crossing Medical Center | Phoenix, AZ | $1,159 | $1,159 | $1,655.67 | 0.7× |
| Jackson Hospital | Montgomery, AL | $1,163.75 | $6,125 | $1,391.64 | 0.8× |
| USA Health Providence Hospital | Mobile, AL | $1,219 | $1,219 | $1,400.86 | 0.9× |
| WakeMed Raleigh Campus | Raleigh, NC | $1,267.30 | $3,335 | $1,572.25 | 0.8× |
| WakeMed Cary Hospital | Cary, NC | $1,267.30 | $3,335 | $1,572.25 | 0.8× |
| Park Place Surgical Hospital | Lafayette, LA | $1,377.85 | $4,397.74 | $1,404.95 | 1.0× |
| Riverview Regional Medical Center | Gadsden, AL | $1,384 | $3,233.30 | $1,391.64 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $1,486.88 | — | $1,620.29 | 0.9× |
| Memorial Hospital | Abilene, KS | $1,530.10 | $1,530.10 | $1,426.92 | 1.1× |
| Dallas Medical Center | Dallas, TX | $1,551 | $3,362.65 | $1,558.65 | 1.0× |
| Dallas Regional Medical Center | Mesquite, TX | $1,551 | $3,233.30 | $1,558.65 | 1.0× |
| Northwest Hills Surgical Hospital | Austin, TX | $1,619.64 | $4,499 | $1,558.65 | 1.0× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $1,626.52 | — | $1,409.04 | 1.2× |
| Memorial Hermann Houston Physicians Hospital | Webster, TX | $1,632.05 | $10,306 | $1,558.65 | 1.0× |
| Harris Health | Houston, TX | $1,658.55 | $1,880 | $1,558.65 | 1.1× |
| Southeast Health Medical Center | Dothan, AL | $1,663.70 | $4,159.26 | $1,494.74 | 1.1× |
| UF Health Jacksonville | Jacksonville, FL | $1,675.46 | $3,046.29 | $1,620.29 | 1.0× |
| Summit Medical Center, LLC | Edmond, OK | $1,765.31 | — | $1,492.27 | 1.2× |
| Griffin Hospital | Derby, CT | $1,770.84 | — | $1,860.06 | 1.0× |
| Covenant Hospital Levelland | Levelland, TX | $1,845.90 | $4,395 | $1,558.65 | 1.2× |
| Covenant Hospital Plainview | Plainview, TX | $1,850.94 | $4,407 | $1,558.65 | 1.2× |
| Valleywise Health Medical Center | Phoenix, AZ | $1,904.02 | — | $1,655.67 | 1.1× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $1,939.95 | — | $1,488.56 | 1.3× |
| Covenant Medical Center | Lubbock, TX | $1,955.10 | $4,655 | $1,558.65 | 1.3× |
| Covenant Childrens Hospital | Lubbock, TX | $1,955.10 | $4,655 | $1,558.65 | 1.3× |
| Summit Surgical, LLC | Hutchinson, KS | $2,019.42 | $2,524.28 | $1,426.92 | 1.4× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $2,167.65 | $4,817 | $1,636.74 | 1.3× |
| SSM Health Saint Louis University Hospital | St. Louis, MO | $2,345.20 | $4,264 | $1,554.09 | 1.5× |
| Prisma Health Oconee Memorial Hospital | Seneca, SC | $2,408.25 | $3,705 | $1,482.47 | 1.6× |
| Prisma Health Baptist Easley Hospital | Easley, SC | $2,408.25 | $3,705 | $1,482.47 | 1.6× |
| Prisma Health Greer Memorial Hospital | Greer, SC | $2,408.25 | $3,705 | $1,486.18 | 1.6× |
| Prisma Health Hillcrest Hospital | Simpsonville, SC | $2,408.25 | $3,705 | $1,486.18 | 1.6× |
| Prisma Health Laurens County Hospital | Clinton, SC | $2,408.25 | $3,705 | $1,478.28 | 1.6× |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | $2,408.25 | $3,705 | $1,478.28 | 1.6× |
| Prisma Health Patewood Hospital | Greenville, SC | $2,408.25 | $3,705 | $1,486.18 | 1.6× |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | $2,825.35 | $5,137 | $1,492.27 | 1.9× |
| Duncan Regional Hospital, Inc | Duncan, OK | $3,020.04 | — | $1,492.27 | 2.0× |
| Hilton Head Medical Center | Hilton Head Island, SC | $3,669.88 | — | $1,443.09 | 2.5× |
| East Cooper Medical Center | Mount Pleasant, SC | $3,669.88 | — | $1,443.09 | 2.5× |
| Coastal Carolina Medical Center | Hardeeville, SC | $3,669.88 | — | $1,443.09 | 2.5× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $3,792.49 | $3,792.49 | $1,558.65 | 2.4× |
| UF Health Leesburg Hospital | Leesburg, FL | $3,993.55 | $7,261 | $1,620.29 | 2.5× |
| Flagler Hospital | Saint Augustine, FL | $3,993.55 | $7,261 | $1,620.29 | 2.5× |
| UF Health Shands Hospital | Gainesville, FL | $3,993.55 | $7,261 | $1,620.29 | 2.5× |
| UF Health Spanish Plaines Hospital | The Villages, FL | $3,993.55 | $7,261 | $1,620.29 | 2.5× |
| AdventHealth Porter | Denver, CO | $4,045.88 | $4,045.88 | $1,636.74 | 2.5× |
| AdventHealth Avista | Louisville, CO | $4,045.88 | $4,045.88 | $1,654.91 | 2.4× |
| AdventHealth Littleton | Littleton, CO | $4,045.88 | $4,045.88 | $1,636.74 | 2.5× |
| AdventHealth Parker | Parker, CO | $4,045.88 | $4,045.88 | $1,636.74 | 2.5× |
| AdventHealth Castle Rock | Castle Rock, CO | $4,045.88 | $4,045.88 | $1,636.74 | 2.5× |
| Northwest Surgical Hospital | Oklahoma City, OK | $4,476.81 | — | $1,492.27 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $4,476.81 | — | $1,492.27 | 3.0× |
| Wellstar West Georgia Medical Center | LaGrange, GA | $4,781.79 | $12,261 | $1,526.79 | 3.1× |
| Wellstar Spalding Medical Center | Griffin, GA | $4,781.79 | $12,261 | $1,556.28 | 3.1× |
| Wellstar MCG Health Medical Center | Augusta, GA | $4,781.79 | $12,261 | $1,359.68 | 3.5× |
| Wellstar Kennestone Regional Medical Center | Marietta, GA | $4,781.79 | $12,261 | $1,575.96 | 3.0× |
| Wellstar Paulding Medical Center | Hiram, GA | $4,781.79 | $12,261 | $1,575.96 | 3.0× |
| Wellstar Cobb Medical Center | Austell, GA | $4,781.79 | $12,261 | $1,575.96 | 3.0× |
| Wellstar Douglas Medical Center | Douglasville, GA | $4,781.79 | $12,261 | $1,561.79 | 3.1× |
| Wellstar North Fulton Medical Center | Roswell, GA | $4,781.79 | $12,261 | $1,575.96 | 3.0× |
| Wellstar Sylvan Grove Medical Center | Jackson, GA | $4,781.79 | $12,261 | $1,556.28 | 3.1× |
| AdventHealth Orlando | Orlando, FL | $5,107 | $5,107 | $1,620.29 | 3.2× |
| McLeod Health Dillon | Dillon, SC | $5,710.53 | $8,043 | $1,443.09 | 4.0× |
| McLeod Regional Medical Center | Florence, SC | $5,710.53 | $8,043 | $1,443.09 | 4.0× |
| McLeod Health Loris | Loris, SC | $5,710.53 | $8,043 | $1,443.09 | 4.0× |
| McLeod Health Cheraw | Cheraw, SC | $5,710.53 | $8,043 | $1,443.09 | 4.0× |
| McLeod Health Clarendon | Manning, SC | $5,710.53 | $8,043 | $1,479.52 | 3.9× |
| Texas Health Hospital Mansfield | Mansfield, TX | $8,243.52 | $8,243.52 | $1,558.65 | 5.3× |
| Omega Hospital | Metairie, LA | $12,452.50 | $21,347.14 | $1,456.41 | 8.6× |
| AdventHealth Carrollwood | Tampa, FL | $15,514.83 | $15,514.83 | $1,620.29 | 9.6× |
| Altus Lumberton Hospital | Lumberton, TX | — | $6,089 | $1,558.65 | — |
"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.