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
Reconstruct orbit/forehead
Devils Lake, ND
See all hospitals reporting CPT 21172 →Price type
Altru Hospital Devils Lake’s median price of $6.7k is 6% above the median hospital's median price ($6.3k), higher than 56% of the 1,448 hospitals reporting CPT 21172. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medica medicaid managed care plan facility · fee schedule · outpatient | $1.7k | $1.7k | $574 | 33% | — | $1.2k – $2.3k |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $1.7k | $1.7k | $574 | 33% | — | $1.2k – $2.3k |
| 3 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 4 | Medica medicare managed care plan facility · fee schedule · outpatient | $2.5k | $2.5k | $388 | 16% | — | $2.1k – $2.9k |
| 5 | Aetna medicare managed care plan facility · fee schedule · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $6.2k | $6.2k | $2.8k | 45% | — | $3.4k – $8.9k |
| 7 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $8.3k | $8.3k | $1.2k | 15% | — | $7.1k – $9.5k |
| 8 | Aetna all commercial plans facility · fee schedule · outpatient | $8.5k | $8.6k | $1.9k | 22% | — | $6.4k – $10.9k |
| 9 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $10.7k | $10.7k | — | — | — | $10.7k – $10.7k |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
Last updated: Mar 1, 2026
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