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
PR RCNST MIDFACE ANY WO LEFORT I
Rochester, MN
See all hospitals reporting CPT 21154 →Price type
Mayo Clinic’s median price of $13.9k is 125% above the median hospital's median price ($6.2k), higher than 93% of the 1,330 hospitals reporting CPT 21154. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 54 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 | Ucare ucare msho medicare advantage plan [598] professional · fee schedule · outpatient | $646 | $646 | — | — | — | $646 – $646 |
| 2 | Ucare ucare connect medicare advantage plan [944] professional · fee schedule · outpatient | $697 | $697 | — | — | — | $697 – $697 |
| 3 | Optum veteran affairs optum [1054] professional · fee schedule · outpatient | $792 | $792 | — | — | — | $792 – $792 |
| 4 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco [815] professional · fee schedule · outpatient | $808 | $808 | — | — | — | $808 – $808 |
| 5 | Ucare ucare medicare advantage plan [643] professional · fee schedule · outpatient | $808 | $808 | — | — | — | $808 – $808 |
| 6 | Medica medica advantage solutions by county [1204] professional · fee schedule · outpatient | $816 | $816 | — | — | — | $816 – $816 |
| 7 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan msho [226] professional · fee schedule · outpatient | $831 | $831 | — | — | — | $831 – $831 |
| 8 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo and hmo [1099] professional · fee schedule · outpatient | $831 | $831 | — | — | — | $831 – $831 |
| 9 | Medica medica dual solution msho medicare advantage plan [1004] professional · fee schedule · outpatient | $847 | $847 | — | — | — | $847 – $847 |
| 10 | Blue Cross Blue Shield mc xr pb bcbs platinum blue medicare advantage plan [935] professional · fee schedule · outpatient | $911 | $911 | — | — | — | $911 – $911 |
| 11 | Ucare ucare essentia care medicare advantage plan [775] professional · fee schedule · outpatient | $911 | $911 | — | — | — | $911 – $911 |
| 12 | Healthpartners healthpartners part b medicare advantage plan [496] professional · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 13 | Blue Cross Blue Shield blue cross blue shield federal retiree [949] professional · fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | Blue Cross Blue Shield blue cross blue shield mayo aco [612] professional · percent of total billed charges · outpatientfrom % of charges | $12.9k | $12.9k | — | — | — | $12.9k – $12.9k |
| 15 | Ucare swwi ucare ifp [1112] professional · percent of total billed charges · outpatientfrom % of charges | $12.9k | $12.9k | — | — | — | $12.9k – $12.9k |
| 16 | Blue Cross Blue Shield blue cross blue shield fep [869] professional · percent of total billed charges · outpatientfrom % of charges | $13.0k | $13.0k | — | — | — | $13.0k – $13.0k |
| 17 | Anthem blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 18 | Blue Cross Blue Shield blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 19 | Blue Cross Blue Shield complex care [808] professional · percent of total billed charges · outpatientfrom % of charges | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 20 | Blue Cross Blue Shield transplant bcbs [1141] professional · percent of total billed charges · outpatientfrom % of charges | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 21 | Healthpartners complex care [808] professional · percent of total billed charges · outpatientfrom % of charges | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 22 | Medica deanhp by medica west mc hmo [1263] professional · percent of total billed charges · outpatientfrom % of charges | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 23 | Medica medica engage [666] professional · percent of total billed charges · outpatientfrom % of charges | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 24 | Medica medica ifb midlands choice ia and ne [48] professional · percent of total billed charges · outpatientfrom % of charges | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 25 | Medica medica non mayo employees group [755] professional · percent of total billed charges · outpatientfrom % of charges | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
Last updated: Aug 14, 2026
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