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 RECONST ORBIT/FOREHEAD BIFRONTAL
Cedar Rapids, IA
See all hospitals reporting CPT 21175 →Price type
St Luke's Methodist Hospital’s median price of $5.4k is 15% below the median hospital's median price ($6.3k), higher than 24% 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: 6 payers, 22 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 | Aetna medicare advantage fee schedule · both | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 2 | Molina medicare advantage fee schedule · both | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 3 | Wellmark medicare advantage fee schedule · both | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 4 | Humana medicare advantage fee schedule · both | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 6 | Wellmark commercial fee schedule · both | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 7 | Wellmark hmo fee schedule · both | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 8 | Wellmark ppo fee schedule · both | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 9 | Aetna hmo fee schedule · both | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 10 | Cigna commercial fee schedule · both | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 11 | Aetna medicare advantage case rate · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 12 | Molina medicare advantage case rate · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 13 | Wellmark medicare advantage case rate · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 14 | Humana medicare advantage case rate · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 15 | UnitedHealthcare medicare advantage case rate · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 16 | Aetna ppo fee schedule · both | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 17 | UnitedHealthcare hmo fee schedule · both | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 18 | UnitedHealthcare ppo fee schedule · both | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 19 | Aetna hmo fee schedule · outpatient | $11.5k | $11.5k | — | — | — | $11.5k – $11.5k |
| 20 | Aetna ppo fee schedule · outpatient | $12.0k | $12.0k | — | — | — | $12.0k – $12.0k |
| 21 | UnitedHealthcare hmo fee schedule · outpatient | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
| 22 | UnitedHealthcare ppo fee schedule · outpatient | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
Last updated: Jan 28, 2026
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