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
OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT
Low
$745
Average
$5.2k
Median
$4.9k
High
$15.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
64 payers; the 90th percentile is 5.1× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Molina fee schedule · outpatient · +15 other terms | 210 | $3.8k | $3.5k | $2.9k | 82% | 1–10 | $1 – $13.7k |
| 2 | UnitedHealthcare fee schedule · outpatient · +25 other terms | 488 | $5.8k | $6.5k | $7.6k | 118% | — | $96 – $173.8k |
| 3 | Aetna fee schedule · outpatient · +22 other terms | 436 | $6.3k | $6.9k | $5.2k | 74% | — | $79 – $48.0k |
| 4 | Humana fee schedule · outpatient · +21 other terms | 341 | $5.8k | $4.9k | $2.5k | 50% | — | $1 – $19.6k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +21 other terms | 334 | $8.0k | $9.8k | $5.8k | 59% | — | $1 – $58.9k |
| 6 | Cigna case rate · outpatient · +18 other terms | 312 | $6.9k | $8.1k | $5.6k | 70% | — | $1.4k – $40.7k |
| 7 | WellCare fee schedule · outpatient · +11 other terms | 160 | $6.0k | $6.1k | $2.3k | 37% | — | $100 – $13.9k |
| 8 | Oscar case rate · outpatient · +12 other terms | 130 | $9.4k | $8.5k | $3.0k | 35% | — | $3.5k – $17.8k |
| 9 | Anthem fee schedule · outpatient · +18 other terms | 123 | $4.4k | $4.8k | $7.0k | 147% | — | $574 – $43.3k |
| 10 | Kaiser fee schedule · outpatient · +10 other terms | 94 | $7.5k | $9.2k | $7.4k | 81% | — | $517 – $42.0k |
| 11 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $6.4k | $7.0k | $1.1k | 15% | — | $3.4k – $8.6k |
| 12 | Aetna Better Health fee schedule · outpatient · +9 other terms | 70 | $2.5k | $2.4k | $689 | 28% | — | $556 – $5.5k |
| 13 | Devoted fee schedule · outpatient · +6 other terms | 68 | $6.0k | $5.5k | $1.8k | 32% | — | $574 – $6.7k |
| 14 | Ambetter fee schedule · outpatient · +10 other terms | 67 | $10.3k | $8.3k | $4.5k | 54% | — | $758 – $14.3k |
| 15 | Caresource fee schedule · outpatient · +10 other terms | 51 | $4.7k | $4.3k | $2.6k | 60% | — | $2.3k – $10.1k |
| 16 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $1.2k | $1.4k | 116% | — | $929 – $8.9k |
| 17 | Optum fee schedule · outpatient · +8 other terms | 35 | $5.7k | $6.5k | $5.3k | 82% | — | $574 – $21.9k |
| 18 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $7.2k | $7.0k | $3.3k | 47% | — | $2.0k – $20.1k |
| 19 | Amerihealth Caritas case rate · outpatient · +7 other terms | 31 | $700 | $7.7k | $6.7k | 87% | — | $662 – $16.0k |
| 20 | Clover fee schedule · outpatient · +6 other terms | 31 | $6.5k | $6.3k | $402 | 6% | — | $5.3k – $7.0k |
| 21 | Medica case rate · outpatient · +9 other terms | 28 | $4.0k | $5.0k | $2.2k | 45% | — | $1.6k – $10.6k |
| 22 | Cigna Healthspring fee schedule · outpatient · +4 other terms | 27 | $2.1k | $3.8k | $1.9k | 51% | — | $2.1k – $6.2k |
| 23 | Tricare fee schedule · outpatient · +10 other terms | 27 | $5.4k | $5.1k | $947 | 19% | — | $3.8k – $7.0k |
| 24 | First Health fee schedule · outpatient · +16 other terms | 26 | $6.2k | $6.0k | $5.1k | 85% | — | $562 – $16.3k |
| 25 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $10.0k | $9.8k | $2.1k | 21% | — | $3.1k – $13.7k |
← Hospitals reporting CPT 21406 · Snapshot 20261113T090226Z-3ce6c0b8