CPT 21077
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
IMPRES&PREP ORBITAL PROSTH
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$3.9k
Median
$3.2k
High
$13.8k
Showing only prices reported under the other methodology. Choose another in the filter below to change the chart. 100 hospitals; the 90th percentile is 7.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
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Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Henry Ford Health Novi, MI | $2.8k | $3.0k | $237 | 8% | — | $2.8k – $3.3k |
| 2 | Northside Hospital, Inc. Lawrenceville, GA | $9.0k | $8.4k | $2.4k | 29% | — | $1.5k – $12k |
| 3 | Spohn Hospital Beeville Beeville, TX | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 4 | St Luke's Magic Valley Regional Medical Center, LTD Twin Falls, ID | $6.6k | $6.7k | $186 | 3% | — | $6.6k – $7.3k |
| 5 | Northside Hospital, Inc. Atlanta, GA | $9.1k | $8.6k | $2.6k | 30% | — | $1.5k – $12k |
| 6 | Spohn Hospital Alice Alice, TX | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 7 | St. Frances Cabrini Hospital Alexandria, LA | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 8 | University Medical Center of Southern Nevada Las Vegas, NV | $4.3k | $3.5k | $1.1k | 31% | — | $2.0k – $4.3k |
| 9 | Fairfield Medical Center Lancaster, OH | $9.0k | $9.0k | $2.2k | 25% | — | $6.8k – $11.2k |
| 10 | Nationwide Children's Hospital Columbus, OH | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
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