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Procedure price report · Treatment, facial fracture or dislocation

Pinning of a broken cheekbone through the skin

CPT 21355the billing code this page is about

Repositioning of a fracture of the cheekbone and its arch using an instrument passed through the skin, without an open surgical incision.

Hospitals typically charge $3,590 cash for this outpatient procedure — the median across 288 hospitals that filed a usable cash price; the average of the middle 60% is $3,369. Most fall between $739 and $6,839 (20th–80th percentile).

Hospitals
288
States
41
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 288 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
$543$867$3,590$6,278$8,913

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($543 vs $8,913).

How the prices are spread

$387 – $535: 13 hospitals$387$535 – $739: 30 hospitals$739 – $1,021: 31 hospitals$739$1,021 – $1,411: 25 hospitals$1,411 – $1,949: 10 hospitals$1,411$1,949 – $2,693: 2 hospitals$2,693 – $3,721: 22 hospitals$2,693$3,721 – $5,142: 42 hospitals$5,142 – $7,105: 43 hospitals$5,142$7,105 – $9,817: 53 hospitals$7,105median $3,590price bands are equal on a log scale
Hospitals per price band (271 of 288 — the bands cover the 5th to 95th percentile)
FromToHospitals
$387$53513
$535$73930
$739$1,02131
$1,021$1,41125
$1,411$1,94910
$1,949$2,6932
$2,693$3,72122
$3,721$5,14242
$5,142$7,10543
$7,105$9,81753

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,387
Median cash price$3,590
Cash as a multiple of Medicare1.06×

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 $3,590.

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: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: 6 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: 5 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $583 across 11 hospitalsIL$583Wisconsin: 6 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $754 across 12 hospitalsMI$754New York: median $3,838 across 23 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: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,057 across 16 hospitalsIA$1,057Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: 9 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $1,981 across 17 hospitalsPA$1,981New Jersey: median $4,290 across 24 hospitalsNJ$4,290Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $9,817 across 32 hospitalsCA$9,817Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: 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: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 5 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: median $6,226 across 13 hospitalsNC$6,226South Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $543 across 13 hospitalsOK$543Louisiana: 9 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 3 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $7,799 across 19 hospitalsTX$7,799Florida: median $6,278 across 11 hospitalsFL$6,278
Cash price by state, most expensive first. National median $3,590. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA32$9,817+173%$5,731 – $9,817
Texas TX19$7,799+117%$4,321 – $7,799
Florida FL11$6,278+75%$6,278 – $6,278
North Carolina NC13$6,226+73%$6,226 – $6,226
New Jersey NJ24$4,290+20%$3,590 – $5,855
New York NY23$3,838+7%$3,387 – $4,139
Pennsylvania PA17$1,981−45%$213 – $5,483
Iowa IA16$1,057−71%$1,057 – $1,057
Michigan MI12$754−79%$488 – $4,559
Illinois IL11$583−84%$583 – $953
Oklahoma OK13$543−85%$543 – $6,612
Louisiana LA9not enough hospitals filed a usable price
Ohio OH9not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Wisconsin WI6not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Minnesota MN5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Georgia GA3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Missouri MO2not 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
Colorado CO1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Washington WA1not enough hospitals filed a usable price
West Virginia WV1not 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 $3,590.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care249$3,838$739 – $7,655
Children’s8fewer than 20 hospitals
Critical access31$989$746 – $6,178
Ownership
For-profit34$4,861$583 – $7,799
Government42$2,999$739 – $6,226
Non-profit212$3,587$746 – $7,799
System affiliation
Part of a system242$3,838$754 – $7,799
Independent46$969$634 – $4,290

Cash price vs list price

Median list price (chargemaster)$1,811
Median cash price$3,590
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

178 hospitals filed a usable inpatient cash price for this code. The median is $4,390 and the average of the middle 60% is $3,876; most fall between $583 and $7,799.

Cash price percentiles, inpatient, across 178 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
$543$754$4,390$7,665$9,817

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($543 vs $9,817).

Of the 187 hospitals that filed this code inpatient, 178 gave a usable cash price; 8 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 1 a list price only.

How complete is this

288 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 314 hospitals that filed this code at all gave us
Usable cash price — counted288
Cash price carrying a plausibility flag — shown on the compare tool, excluded here24
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded1
Hospitals that filed this code314

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 23, 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 Treatment, facial fracture or dislocation family.

Hospitals file this code under descriptions such as Percutaneous Tx Malar Area Fracture.

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, “Pinning of a broken cheekbone through the skin (CPT 21355) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-21355-pinning-of-a-broken-cheekbone-through-the-skin