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
Optx Orb Floor Blwt Fx Pri/Bital Appr W/Allplstc
Utica, NY
See all hospitals reporting CPT 21390 →Price type
MVHS, Inc.’s median price of $7.4k is 20% above the median hospital's median price ($6.2k), higher than 68% of the 1,616 hospitals reporting CPT 21390. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 13 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 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 2 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 3 | Humana humana military other · outpatient | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 4 | Tricare humana military other · outpatient | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 5 | Excellus excellus bcbs medicare advantage other · outpatient | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 6 | Humana humana medicare advantage other · outpatient | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 7 | Medicare medicare other · outpatient | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 8 | Optum vaccn optum other · outpatient | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 9 | UnitedHealthcare uhc medicare advantage other · outpatient | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 10 | Aetna aetna medicare advantage other · outpatient | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 11 | WellCare wellcare medicare advantage other · outpatient | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 12 | UnitedHealthcare uhc commercial fee schedule · outpatient | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
| 13 | Cigna mvp and cigna commercial other · outpatient | $21.2k | $21.2k | — | — | — | $21.2k – $21.2k |
Last updated: Aug 7, 2026
See Orbital floor fracture repair with implant pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.