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
Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephaly, trigonocephaly, brachycephaly), with or without grafts (includes obtaining au
Argyle, TX
See all hospitals reporting CPT 21175 →Price type
Medical City Argyle’s median price of $11.2k is 77% above the median hospital's median price ($6.3k), higher than 89% 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: 8 payers, 29 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 | Superior Healthplan chip case rate · outpatient | $948 | $948 | — | — | — | $948 – $948 |
| 2 | Superior Healthplan mcdstar case rate · outpatient | $948 | $948 | — | — | — | $948 – $948 |
| 3 | Superior Healthplan starhealth case rate · outpatient | $948 | $948 | — | — | — | $948 – $948 |
| 4 | Superior Healthplan starkids case rate · outpatient | $948 | $948 | — | — | — | $948 – $948 |
| 5 | Superior Healthplan starplus case rate · outpatient | $948 | $948 | — | — | — | $948 – $948 |
| 6 | Aetna qhphix case rate · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 7 | Aetna newbusiness case rate · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 8 | Aetna comm case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 9 | Aetna meritain case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 10 | Aetna oon case rate · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 11 | Blue Cross Blue Shield bluepremier fee schedule · outpatient | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 12 | Oscar hix case rate · outpatient | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 13 | Healthcare Highways narrownetwork case rate · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 14 | UnitedHealthcare narrownetworkindivexchange case rate · outpatient | $8.6k | $8.6k | — | — | — | $8.6k – $8.6k |
| 15 | UnitedHealthcare smallgroup case rate · outpatient | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 16 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 17 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 18 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $13.8k | $13.8k | — | — | — | $13.8k – $13.8k |
| 19 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $13.8k | $13.8k | — | — | — | $13.8k – $13.8k |
| 20 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $14.5k | $14.5k | — | — | — | $14.5k – $14.5k |
| 21 | Blue Cross Blue Shield ppo fee schedule · outpatient | $15.2k | $15.2k | — | — | — | $15.2k – $15.2k |
| 22 | UnitedHealthcare allpayerappendix case rate · outpatient | $15.4k | $15.4k | — | — | — | $15.4k – $15.4k |
| 23 | Humana comm fee schedule · outpatient | $15.7k | $15.7k | — | — | — | $15.7k – $15.7k |
| 24 | Cigna localplus case rate · outpatient | $20.0k | $20.0k | — | — | — | $20.0k – $20.0k |
| 25 | Cigna newbusiness case rate · outpatient | $20.0k | $20.0k | — | — | — | $20.0k – $20.0k |
Last updated: Mar 1, 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.