CPT 21385 Surgery

Open treatment of orbital fracture Cost

Q: How much does Open treatment of orbital fracture cost?

The Medicare facility rate for Open treatment of orbital fracture (CPT 21385) is variable. Commercial insurance rates typically range from 150% to 250% of Medicare. Hospital outpatient rate: $6.

Q: How much does Open treatment of orbital fracture cost without insurance?

Without insurance, Open treatment of orbital fracture typically costs between 150% and 250% of the Medicare rate. The Medicare baseline is variable. Costs vary significantly by geographic location and facility.

Body System: Musculoskeletal

Hospital Outpatient

OPPS rate

Surgery Center (ASC)

ASC rate

Frequently Asked Questions

How much does Open treatment of orbital fracture cost?

The Medicare facility rate is variable. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $6. Ambulatory surgery center rate: $3.

How much does Open treatment of orbital fracture cost without insurance?

Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is variable.