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Procedure price report · Treatment, facial fracture or dislocation

Orbital floor fracture repair with implant

CPT 21390the billing code this page is about

Surgery through the tissue around the eye to fix a broken eye socket floor, with a synthetic implant placed to support the bone.

Hospitals typically charge $4,276 cash for this outpatient procedure — the median across 421 hospitals that filed a usable cash price; the average of the middle 60% is $4,556. Most fall between $1,329 and $10,088 (20th–80th percentile).

Hospitals
421
States
46
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 421 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
$1,100$1,630$4,276$7,894$16,358

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($1,100 vs $16,358).

How the prices are spread

$708 – $1,009: 21 hospitals$708$1,009 – $1,438: 49 hospitals$1,438 – $2,049: 59 hospitals$1,438$2,049 – $2,919: 31 hospitals$2,919 – $4,160: 18 hospitals$2,919$4,160 – $5,928: 48 hospitals$5,928 – $8,447: 78 hospitals$5,928$8,447 – $12,037: 22 hospitals$12,037 – $17,153: 46 hospitals$12,037$17,153 – $24,443: 9 hospitals$17,153median $4,276price bands are equal on a log scale
Hospitals per price band (381 of 421 — the bands cover the 5th to 95th percentile)
FromToHospitals
$708$1,00921
$1,009$1,43849
$1,438$2,04959
$2,049$2,91931
$2,919$4,16018
$4,160$5,92848
$5,928$8,44778
$8,447$12,03722
$12,037$17,15346
$17,153$24,4439

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,048
Median cash price$4,276
Cash as a multiple of Medicare0.71×

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 $4,276.

Alaska: 1 hospital 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: 7 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 $1,359 across 14 hospitalsIL$1,359Wisconsin: median $4,276 across 21 hospitalsWI$4,276Michigan: median $2,045 across 29 hospitalsMI$2,045New York: median $7,000 across 27 hospitalsNY$7,000Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $2,679 across 12 hospitalsOR$2,679Nevada: 4 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 $1,993 across 18 hospitalsIA$1,993Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $3,573 across 19 hospitalsOH$3,573Pennsylvania: 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 $16,358 across 32 hospitalsCA$16,358Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 5 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $1,320 across 12 hospitalsMO$1,320Kentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 6 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: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 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: 5 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 $1,317 across 13 hospitalsOK$1,317Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $15,440 across 10 hospitalsGA$15,440Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $4,899 across 24 hospitalsTX$4,899Florida: 6 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,276. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA32$16,358+283%$2,407 – $16,358
Georgia GA10$15,440+261%$692 – $15,440
New York NY27$7,000+64%$2,455 – $7,734
New Jersey NJ31$6,548+53%$5,339 – $7,894
Texas TX24$4,899+15%$2,702 – $7,439
Wisconsin WI21$4,2760%$4,276 – $6,342
Pennsylvania PA20$3,908−9%$492 – $11,147
Ohio OH19$3,573−16%$2,464 – $26,423
Oregon OR12$2,679−37%$1,466 – $2,679
Michigan MI29$2,045−52%$1,329 – $4,276
Iowa IA18$1,993−53%$1,993 – $2,272
Illinois IL14$1,359−68%$1,108 – $6,384
Missouri MO12$1,320−69%$1,255 – $22,615
Oklahoma OK13$1,317−69%$1,317 – $8,596
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
Washington WA7not enough hospitals filed a usable price
Florida FL6not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Colorado CO5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Massachusetts MA2not 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
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not 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 $4,276.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care338$4,899$1,329 – $10,088
Children’s22$8,992$2,281 – $28,589
Critical access61$2,346$1,320 – $6,342
Ownership
For-profit43$4,899$1,108 – $10,088
Government57$2,488$1,329 – $7,000
Non-profit321$4,276$1,466 – $11,613
System affiliation
Part of a system342$4,881$1,320 – $11,613
Independent79$2,702$1,445 – $9,505

Cash price vs list price

Median list price (chargemaster)$4,089
Median cash price$4,276
Cash as a share of list, median hospital61%

At the typical hospital, asking for the cash price cuts the list price by about 39%. 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

220 hospitals filed a usable inpatient cash price for this code. The median is $2,281 and the average of the middle 60% is $3,399; most fall between $1,316 and $9,186.

Cash price percentiles, inpatient, across 220 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
$934$1,320$2,281$7,439$15,519

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($934 vs $15,519).

Of the 243 hospitals that filed this code inpatient, 220 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 7 a list price only.

How complete is this

421 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 468 hospitals that filed this code at all gave us
Usable cash price — counted421
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 — excluded3
A list price only, no cash figure — excluded8
Hospitals that filed this code468

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 Optx Orb Floor Blwt Fx Pri/Bital Appr W/Allplstc.

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 with implant (CPT 21390) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-21390-orbital-floor-fracture-repair-with-implant