CPT 21401
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
Closed tx orbit w/manipulj
Low
$294
Average
$481
Median
$482
High
$664
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6 hospital rates
iThe hospitals that file a Bcbs Ks rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | COMMONSPIRIT KANSAS, INC. Dodge City, KS fee schedule · outpatient | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 2 | COMMONSPIRIT KANSAS, INC. Garden City, KS fee schedule · outpatient | 1 | $294 | $294 | — | — | — | $294 – $294 |
| 3 | Children's Mercy Hospital Kansas City, MO professional · fee schedule · inpatient | 9 | $736 | $664 | $107 | 16% | — | $480 – $736 |
| 4 | Children's Mercy Hospital Kansas City, MO professional · fee schedule · outpatient | 9 | $736 | $664 | $107 | 16% | — | $480 – $736 |
| 5 | Children's Mercy Hospital Kansas Overland Park, KS professional · fee schedule · inpatient | 9 | $736 | $664 | $107 | 16% | — | $480 – $736 |
| 6 | Children's Mercy Hospital Kansas Overland Park, KS professional · fee schedule · outpatient | 9 | $736 | $664 | $107 | 16% | — | $480 – $736 |
← Payers reporting CPT 21401 · Snapshot 20261113T090226Z-3ce6c0b8