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
Carmichael, CA
See all hospitals reporting CPT 21175 →Price type
Dignity Health’s median price of $8.0k is 26% above the median hospital's median price ($6.3k), higher than 72% of the 1,439 hospitals reporting CPT 21175. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 27 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 | UnitedHealthcare medicaid|< 21 fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 2 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 4 | Anthem medicaid|all plans fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 5 | Blue Cross Blue Shield commercial|aco trio case rate · outpatient | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 6 | Anthem medicare|all other plans fee schedule · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 7 | Aetna medicare|all plans fee schedule · outpatient | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 8 | Blue Cross Blue Shield medicare|hmo case rate · outpatient | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 9 | Blue Cross Blue Shield medicare|ppo fee schedule · outpatient | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 10 | Humana commercial|all plans fee schedule · outpatient | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 11 | Humana medicare|all plans fee schedule · outpatient | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 12 | Kaiser medicare|all plans case rate · outpatient | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 13 | Molina medicare|all plans fee schedule · outpatient | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 14 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 15 | Blue Cross Blue Shield commercial|aco trio calpers case rate · outpatient | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 16 | Anthem medicare|imperial fee schedule · outpatient | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 17 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 18 | Anthem commercial|connection epo case rate · outpatient | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 19 | Blue Cross Blue Shield commercial|ppo tandem case rate · outpatient | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 20 | Aetna commercial|all other plans case rate · outpatient | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 21 | Aetna commercial|hmo case rate · outpatient | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 22 | Aetna commercial|ppo case rate · outpatient | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 23 | Blue Cross Blue Shield commercial|hmo case rate · outpatient | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 24 | Blue Cross Blue Shield commercial|calpers case rate · outpatient | $12.5k | $12.5k | — | — | — | $12.5k – $12.5k |
| 25 | Anthem commercial|all other plans case rate · outpatient | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
Last updated: Feb 28, 2026
See Skull reconstruction to correct forehead and eye-socket shape pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.