Price Checker / CPT 21175
How much does Rcnst Bfrnt Sp Orb Rm&lw Fhd cost?
CPT 21175 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is a bit above the fair range. It may be worth asking for the cash/self-pay rate.
Fair price
$2,900–$5,800
What this should cost
With insurance
~$3,950
Typical out-of-pocket
Overcharged if over
$7,250
Push back above this
The average hospital charge of $6,000 is $1,650 over the fair price.
What hospitals charge for Rcnst Bfrnt Sp Orb Rm&lw Fhd
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Little Falls Hospital LITTLE FALLS, ME | $6,000 | — | 211% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Rcnst Bfrnt Sp Orb Rm&lw Fhd
CPT code 21175 refers to rcnst bfrnt sp orb rm&lw fhd (billing description: "Rcnst bfrnt sp orb rm&lw fhd"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $1,932 in a facility (hospital or surgery center) and $1,932 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.