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Procedure price report · Treatment, facial fracture or dislocation

Cheekbone fracture surgery with internal fixation

CPT 21365the billing code this page is about

Open repair of a complicated cheekbone and arch fracture through more than one incision, with plates, screws, or wires placed to hold the bone.

Hospitals typically charge $5,745 cash for this outpatient procedure — the median across 392 hospitals that filed a usable cash price; the average of the middle 60% is $5,171. Most fall between $1,777 and $9,186 (20th–80th percentile).

Hospitals
392
States
45
Filings dated
Mar 2023 – 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 392 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
$1,298$2,171$5,745$8,590$14,354

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($1,298 vs $14,354).

How the prices are spread

$1,106 – $1,514: 38 hospitals$1,106$1,514 – $2,072: 36 hospitals$2,072 – $2,835: 39 hospitals$2,072$2,835 – $3,879: 24 hospitals$3,879 – $5,308: 31 hospitals$3,879$5,308 – $7,264: 85 hospitals$7,264 – $9,940: 46 hospitals$7,264$9,940 – $13,602: 28 hospitals$13,602 – $18,613: 17 hospitals$13,602$18,613 – $25,470: 10 hospitals$18,613median $5,745price bands are equal on a log scale
Hospitals per price band (354 of 392 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,106$1,51438
$1,514$2,07236
$2,072$2,83539
$2,835$3,87924
$3,879$5,30831
$5,308$7,26485
$7,264$9,94046
$9,940$13,60228
$13,602$18,61317
$18,613$25,47010

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,048
Median cash price$5,745
Cash as a multiple of Medicare0.95×

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 $5,745.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 9 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: 8 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $2,092 across 13 hospitalsIL$2,092Wisconsin: median $5,754 across 28 hospitalsWI$5,754Michigan: median $1,663 across 27 hospitalsMI$1,663New York: median $7,000 across 27 hospitalsNY$7,000Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 7 hospitals filed a usable price — fewer than 10, so no figureORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $2,738 across 18 hospitalsIA$2,738Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $4,360 across 15 hospitalsOH$4,360Pennsylvania: median $3,908 across 20 hospitalsPA$3,908New Jersey: median $6,548 across 31 hospitalsNJ$6,548Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $8,590 across 30 hospitalsCA$8,590Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $1,660 across 10 hospitalsMO$1,660Kentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,777 across 13 hospitalsOK$1,777Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 7 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $6,605 across 25 hospitalsTX$6,605Florida: 6 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $5,745. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA30$8,590+50%$2,797 – $8,590
New York NY27$7,000+22%$2,673 – $7,327
Texas TX25$6,605+15%$5,290 – $6,605
New Jersey NJ31$6,548+14%$5,339 – $7,894
Wisconsin WI28$5,7540%$5,745 – $10,063
Ohio OH15$4,360−24%$2,752 – $6,383
Pennsylvania PA20$3,908−32%$671 – $11,147
Iowa IA18$2,738−52%$2,738 – $3,529
Illinois IL13$2,092−64%$1,240 – $6,511
Oklahoma OK13$1,777−69%$1,777 – $12,061
Michigan MI27$1,663−71%$1,369 – $5,745
Missouri MO10$1,660−71%$1,541 – $4,687
Idaho ID9not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
Minnesota MN8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Georgia GA7not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
West Virginia WV7not enough hospitals filed a usable price
Florida FL6not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Virginia VA1not 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 $5,745.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care313$5,745$1,777 – $8,590
Children’s22$22,851$3,159 – $29,339
Critical access57$5,032$1,660 – $6,605
Ownership
For-profit38$5,745$1,294 – $9,505
Government58$3,159$1,903 – $7,264
Non-profit296$5,745$1,777 – $8,913
System affiliation
Part of a system316$5,745$1,749 – $9,334
Independent76$3,259$1,971 – $8,103

Cash price vs list price

Median list price (chargemaster)$5,032
Median cash price$5,745
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

200 hospitals filed a usable inpatient cash price for this code. The median is $3,159 and the average of the middle 60% is $4,539; most fall between $1,663 and $8,590.

Cash price percentiles, inpatient, across 200 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
$1,240$1,777$3,159$6,605$10,001

The most expensive tenth of hospitals charges at least 8.1× what the cheapest tenth charges ($1,240 vs $10,001).

Of the 221 hospitals that filed this code inpatient, 200 gave a usable cash price; 18 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 3 a list price only.

How complete is this

392 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 438 hospitals that filed this code at all gave us
Usable cash price — counted392
Cash price carrying a plausibility flag — shown on the compare tool, excluded here38
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 — excluded6
Hospitals that filed this code438

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 Open Tx Comp Fx Malar W/Internal Fx&Mult Surg.

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, “Cheekbone fracture surgery with internal fixation (CPT 21365) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-21365-cheekbone-fracture-surgery-with-internal-fixation