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Procedure price report · Treatment, facial fracture or dislocation

Orbital floor fracture repair through the eyelid area

CPT 21386the billing code this page is about

Surgery to fix a broken eye socket floor using an incision around the eye to reposition the bone.

Hospitals typically charge $3,173 cash for this outpatient procedure — the median across 300 hospitals that filed a usable cash price; the average of the middle 60% is $3,998. Most fall between $1,135 and $7,894 (20th–80th percentile).

Hospitals
300
States
41
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 300 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
$861$1,190$3,173$7,161$14,319

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($861 vs $14,319).

How the prices are spread

$604 – $828: 14 hospitals$604$828 – $1,137: 43 hospitals$1,137 – $1,561: 29 hospitals$1,137$1,561 – $2,142: 32 hospitals$2,142 – $2,940: 18 hospitals$2,142$2,940 – $4,035: 7 hospitals$4,035 – $5,538: 16 hospitals$4,035$5,538 – $7,601: 67 hospitals$7,601 – $10,433: 22 hospitals$7,601$10,433 – $14,319: 27 hospitals$10,433median $3,173price bands are equal on a log scale
Hospitals per price band (275 of 300 — the bands cover the 5th to 95th percentile)
FromToHospitals
$604$82814
$828$1,13743
$1,137$1,56129
$1,561$2,14232
$2,142$2,94018
$2,940$4,0357
$4,035$5,53816
$5,538$7,60167
$7,601$10,43322
$10,433$14,31927

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,048
Median cash price$3,173
Cash as a multiple of Medicare0.52×

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 $3,173.

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: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: 8 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: 7 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,104 across 11 hospitalsIL$1,104Wisconsin: 9 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $986 across 12 hospitalsMI$986New York: median $7,000 across 22 hospitalsNY$7,000Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $1,280 across 10 hospitalsOR$1,280Nevada: 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 $1,622 across 16 hospitalsIA$1,622Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,488 across 12 hospitalsOH$2,488Pennsylvania: median $527 across 18 hospitalsPA$527New 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 $14,319 across 29 hospitalsCA$14,319Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 6 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: 4 hospitals 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: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 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 $1,135 across 13 hospitalsOK$1,135Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $7,161 across 22 hospitalsTX$7,161Florida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,173. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA29$14,319+351%$1,943 – $14,319
Texas TX22$7,161+126%$5,013 – $7,161
New York NY22$7,000+121%$1,908 – $7,027
New Jersey NJ31$6,548+106%$5,110 – $7,434
Ohio OH12$2,488−22%$1,632 – $3,125
Iowa IA16$1,622−49%$1,622 – $1,622
Oregon OR10$1,280−60%$1,280 – $2,294
Oklahoma OK13$1,135−64%$1,135 – $8,221
Illinois IL11$1,104−65%$958 – $1,303
Michigan MI12$986−69%$986 – $8,140
Pennsylvania PA18$527−83%$429 – $10,001
Wisconsin WI9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Minnesota MN7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Wyoming WY2not 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
North Carolina NC1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Washington WA1not 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 $3,173.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care254$4,612$1,135 – $8,140
Children’s9fewer than 20 hospitals
Critical access37$1,762$986 – $5,754
Ownership
For-profit34$4,612$958 – $8,913
Government43$1,968$1,155 – $7,000
Non-profit223$3,908$1,135 – $7,894
System affiliation
Part of a system240$4,612$1,104 – $7,894
Independent60$1,943$1,155 – $7,264

Cash price vs list price

Median list price (chargemaster)$2,652
Median cash price$3,173
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

166 hospitals filed a usable inpatient cash price for this code. The median is $1,622 and the average of the middle 60% is $2,998; most fall between $985 and $9,186.

Cash price percentiles, inpatient, across 166 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
$818$1,135$1,622$7,161$14,319

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($818 vs $14,319).

Of the 184 hospitals that filed this code inpatient, 166 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 2 a list price only.

How complete is this

300 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 — counted300
Cash price carrying a plausibility flag — shown on the compare tool, excluded here35
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 — excluded2
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 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 Orbital Floor Blowout Fx Periorbital.

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, “Orbital floor fracture repair through the eyelid area (CPT 21386) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-21386-orbital-floor-fracture-repair-through-the-eyelid-area