Price Checker / CPT 21407
How much does Opn Tx Orbit Fx W/implant cost?
CPT 21407 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is roughly 7.9x the fair price. This is well above fair — push back or dispute it.
Fair price
$870–$1,750
What this should cost
With insurance
~$3,650
Typical out-of-pocket
Overcharged if over
$2,200
Push back above this
The average hospital charge of $10,300 is $9,000 over the fair price (about 7.9x the fair rate).
What hospitals charge for Opn Tx Orbit Fx W/implant
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Wills Eye Hospital Philadelphia, PA | $10,300 | — | 1236% |
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 Opn Tx Orbit Fx W/implant
CPT code 21407 refers to opn tx orbit fx w/implant (billing description: "Opn tx orbit fx w/implant"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $578 in a facility (hospital or surgery center) and $578 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.