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
SAN ANTONIO, TX
See all hospitals reporting CPT 21175 →Price type
Methodist Hospital’s median price of $6.4k is about the same as the median hospital's median price ($6.3k), higher than 51% 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, 28 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | First Health chip per diem · outpatient | $365 | $365 | — | — | — | $365 – $365 |
| 2 | First Health chipperinate per diem · outpatient | $365 | $365 | — | — | — | $365 – $365 |
| 3 | First Health mcdstar per diem · outpatient | $365 | $365 | — | — | — | $365 – $365 |
| 4 | Aetna qhphix case rate · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 5 | Aetna narrownetwork case rate · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 6 | Aetna newbusinessrates case rate · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 7 | Aetna commercialbasenetwork case rate · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 8 | Aetna oon case rate · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 9 | WellCare mcrhmo fee schedule · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 10 | WellCare mcrpos fee schedule · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 11 | WellCare mcrppo fee schedule · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 12 | WellCare mcrsnp fee schedule · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 13 | WellCare pffs fee schedule · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 14 | Cigna newbusinessnetwork case rate · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 15 | Healthcare Highways narrownetwork case rate · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 16 | Cigna hmo case rate · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 17 | Cigna openaccessplus case rate · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 18 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 19 | Cigna ppo case rate · outpatient | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 20 | UnitedHealthcare smallgroup case rate · outpatient | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 21 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $9.5k | $9.5k | — | — | — | $9.5k – $9.5k |
| 22 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 23 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 24 | UnitedHealthcare charter case rate · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 25 | UnitedHealthcare nexusaco case rate · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
Last updated: May 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.