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
$228
Average
$2.4k
Median
$1.6k
High
$9.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
33 payers; the 90th percentile is 6.9× 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 | Aetna facility · percent of total billed charges · outpatientfrom % of charges · +8 other terms | 35 | $1.7k | $2.0k | $1.5k | 73% | — | $480 – $6.0k |
| 2 | MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +7 other terms | 30 | $3.1k | $2.9k | $1.7k | 60% | — | $750 – $7.7k |
| 3 | Cigna facility · percent of total billed charges · outpatientfrom % of charges · +8 other terms | 29 | $2.9k | $3.2k | $2.4k | 75% | — | $391 – $8.7k |
| 4 | UnitedHealthcare percent of total billed charges · bothfrom % of charges · +8 other terms | 26 | $1.2k | $1.8k | $1.6k | 86% | — | $508 – $6.9k |
| 5 | First Health percent of total billed charges · bothfrom % of charges · +7 other terms | 19 | $3.4k | $4.2k | $1.5k | 37% | — | $3.3k – $7.7k |
| 6 | Blue Cross Blue Shield facility · percent of total billed charges · outpatientfrom % of charges · +6 other terms | 12 | $1.3k | $1.1k | $456 | 41% | — | $429 – $2.0k |
| 7 | Humana facility · percent of total billed charges · outpatientfrom % of charges · +5 other terms | 11 | $1.1k | $1.9k | $1.2k | 65% | — | $413 – $3.7k |
| 8 | Clover facility · percent of total billed charges · outpatientfrom % of charges | 10 | $649 | $649 | — | — | — | $649 – $649 |
| 9 | Medcost percent of total billed charges · bothfrom % of charges · +3 other terms | 9 | $2.9k | $2.9k | $167 | 6% | — | $2.7k – $3.1k |
| 10 | WellCare percent of total billed charges · bothfrom % of charges · +1 other terms | 9 | $571 | $571 | — | — | — | $571 – $571 |
← Hospitals reporting CPT 21401 · Snapshot 20261113T090226Z-3ce6c0b8