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
$267
Average
$3.2k
Median
$3.2k
High
$5.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
13 payers; the 90th percentile is 13.7× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | First Health per diem · outpatient | 11 | $365 | $365 | — | — | — | $365 – $365 |
| 2 | Blue Cross Blue Shield per diem · outpatient | 8 | $1.2k | $1.2k | $281 | 23% | — | $663 – $1.6k |
| 3 | Aetna per diem · inpatient | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 4 | Anthem per diem · outpatient · +1 other terms | 1 | $3.8k | $3.8k | $882 | 23% | — | $3.0k – $5.0k |
| 5 | Cigna per diem · both | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 6 | Humana per diem · inpatient | 1 | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 7 | Kaiser professional · per diem · both | 1 | $267 | $267 | $66 | 25% | — | $181 – $434 |
| 8 | Medicare per diem · inpatient | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 9 | Molina per diem · inpatient | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 10 | Optum facility · per diem · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 11 | Oscar per diem · outpatient · +1 other terms | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 12 | UnitedHealthcare per diem · both · +2 other terms | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 13 | Wellmark per diem · outpatient | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
← Hospitals reporting CPT 21401 · Snapshot 20261113T090226Z-3ce6c0b8