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
$316
Average
$2.8k
Median
$1.6k
High
$10.2k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
83 hospitals; the 90th percentile is 17.3× 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.
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116 hospital rates
iThe hospitals that file a First Health 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 | Adventhealth Carrollwood Tampa, FL fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 2 | Adventhealth Daytona Beach Port Orange, FL fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 3 | Adventhealth Heart of Florida Winter Haven, FL fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 4 | Adventhealth Palm Coast Parkway Palm Coast, FL fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 5 | Adventhealth Tampa Brandon, FL fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 6 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 7 | AnMed Health Cannon Pickens, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 8 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 9 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 10 | Bexar County Hospital District San Antonio, TX case rate · outpatient | 1 | $494 | $494 | — | — | — | $494 – $494 |
| 11 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 2 | $970 | $970 | $421 | 43% | — | $549 – $1.4k |
| 12 | Bexar County Hospital District San Antonio, TX percent of total billed charges · inpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 13 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 14 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $435 | $435 | $90 | 21% | — | $345 – $526 |
| 15 | Chapman Global Medical Center Orange, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 16 | Chapman Global Medical Center Orange, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 17 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 1 | $485 | $485 | — | — | — | $485 – $485 |
| 18 | DIGNITY COMMUNITY CARE Northridge, CA case rate · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 19 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 20 | DIGNITY HEALTH San Bernardino, CA fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 21 | DIGNITY HEALTH Gilbert, AZ fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 22 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $435 | $435 | $90 | 21% | — | $345 – $526 |
| 23 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $735 | $735 | — | — | — | $735 – $735 |
| 24 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 1 | $735 | $735 | — | — | — | $735 – $735 |
| 25 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $735 | $735 | — | — | — | $735 – $735 |
← Payers reporting CPT 21401 · Snapshot 20261113T090226Z-3ce6c0b8