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Procedure price report · Other extraocular muscle and orbit therapeutic procedures

Tightening of the inner corner of the eyelid

CPT 21280the billing code this page is about

Surgery to reposition and secure the tendon at the inner corner of the eyelids where they meet the nose, billed when done on its own.

Hospitals typically charge $3,544 cash for this outpatient procedure — the median across 311 hospitals that filed a usable cash price; the average of the middle 60% is $2,798. Most fall between $921 and $4,783 (20th–80th percentile).

Hospitals
311
States
42
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 311 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$449$961$3,544$4,344$6,120

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($449 vs $6,120).

How the prices are spread

$394 – $537: 22 hospitals$394$537 – $733: 13 hospitals$733 – $1,000: 37 hospitals$733$1,000 – $1,364: 18 hospitals$1,364 – $1,861: 31 hospitals$1,364$1,861 – $2,539: 10 hospitals$2,539 – $3,463: 7 hospitals$2,539$3,463 – $4,725: 95 hospitals$4,725 – $6,446: 35 hospitals$4,725$6,446 – $8,795: 16 hospitals$6,446median $3,544price bands are equal on a log scale
Hospitals per price band (284 of 311 — the bands cover the 5th to 95th percentile)
FromToHospitals
$394$53722
$537$73313
$733$1,00037
$1,000$1,36418
$1,364$1,86131
$1,861$2,53910
$2,539$3,4637
$3,463$4,72595
$4,725$6,44635
$6,446$8,79516

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,387
Median cash price$3,544
Cash as a multiple of Medicare1.05×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $3,544.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,140 across 12 hospitalsIL$1,140Wisconsin: 6 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 7 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $3,838 across 21 hospitalsNY$3,838Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,434 across 14 hospitalsIA$1,434Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: 8 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $3,769 across 26 hospitalsPA$3,769New Jersey: median $4,327 across 29 hospitalsNJ$4,327Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $4,043 across 23 hospitalsCA$4,043Utah: median $441 across 23 hospitalsUT$441Colorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $3,811 across 11 hospitalsVA$3,811Maryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $961 across 14 hospitalsOK$961Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 7 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $4,849 across 20 hospitalsTX$4,849Florida: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,544. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Texas TX20$4,849+37%$1,940 – $4,849
New Jersey NJ29$4,327+22%$3,593 – $5,339
California CA23$4,043+14%$4,043 – $4,043
New York NY21$3,838+8%$3,838 – $4,139
Virginia VA11$3,811+8%$1,508 – $3,811
Pennsylvania PA26$3,769+6%$377 – $4,783
Iowa IA14$1,434−60%$1,434 – $1,434
Illinois IL12$1,140−68%$926 – $2,547
Oklahoma OK14$961−73%$961 – $8,221
Utah UT23$441−88%$363 – $466
Ohio OH8not enough hospitals filed a usable price
Georgia GA7not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Michigan MI7not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Wisconsin WI6not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
Wyoming WY1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $3,544.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care263$3,763$926 – $4,627
Children’s11fewer than 20 hospitals
Critical access36$970$606 – $6,583
Ownership
For-profit30$2,432$926 – $5,341
Government36$1,898$1,054 – $4,069
Non-profit244$3,593$825 – $4,559
System affiliation
Part of a system269$3,769$926 – $4,849
Independent42$1,581$886 – $4,230

Cash price vs list price

Median list price (chargemaster)$2,646
Median cash price$3,544
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

195 hospitals filed a usable inpatient cash price for this code. The median is $1,898 and the average of the middle 60% is $2,698; most fall between $917 and $4,849.

Cash price percentiles, inpatient, across 195 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$449$926$1,898$4,290$6,583

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($449 vs $6,583).

Of the 214 hospitals that filed this code inpatient, 195 gave a usable cash price; 9 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 10 a list price only.

How complete is this

311 of the 3,956 hospitals with a price file in our corpus (8%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 339 hospitals that filed this code at all gave us
Usable cash price — counted311
Cash price carrying a plausibility flag — shown on the compare tool, excluded here15
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded11
Hospitals that filed this code339

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other extraocular muscle and orbit therapeutic procedures family.

Hospitals file this code under descriptions such as Medial Canthopexy Separate Procedure.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Tightening of the inner corner of the eyelid (CPT 21280) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-21280-tightening-of-the-inner-corner-of-the-eyelid