Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC Prep Face/Oral Prost Obturator
Low
$651
Average
$2.3k
Median
$1.8k
High
$8.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
61 payers; the 90th percentile is 4.4× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +25 other terms | 469 | $1.5k | $2.2k | $2.5k | 114% | 2–20 | $1 – $43.5k |
| 2 | Aetna fee schedule · outpatient · +24 other terms | 408 | $1.7k | $2.5k | $3.0k | 120% | — | $1 – $33.6k |
| 3 | Humana fee schedule · outpatient · +23 other terms | 334 | $1.5k | $1.5k | $1.2k | 80% | — | $1 – $12.8k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +22 other terms | 320 | $2.6k | $3.5k | $3.1k | 88% | — | $1 – $41.4k |
| 5 | Cigna case rate · outpatient · +18 other terms | 223 | $6.8k | $12.0k | $8.5k | 71% | — | $1 – $40.7k |
| 6 | Molina fee schedule · outpatient · +17 other terms | 188 | $993 | $803 | $841 | 105% | — | $1 – $3.6k |
| 7 | WellCare fee schedule · outpatient · +12 other terms | 152 | $1.5k | $1.6k | $664 | 42% | — | $309 – $4.4k |
| 8 | Oscar case rate · outpatient · +16 other terms | 130 | $5.6k | $5.2k | $1.6k | 31% | — | $2.3k – $10.1k |
| 9 | Anthem fee schedule · outpatient · +18 other terms | 119 | $1.9k | $2.4k | $2.1k | 85% | — | $358 – $11.4k |
| 10 | Kaiser fee schedule · outpatient · +12 other terms | 91 | $2.2k | $2.9k | $1.8k | 62% | — | $645 – $10.9k |
| 11 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $2.2k | $2.0k | $732 | 36% | — | $1.2k – $4.3k |
| 12 | Devoted fee schedule · outpatient · +6 other terms | 68 | $1.5k | $1.5k | $284 | 19% | — | $692 – $1.7k |
| 13 | Aetna Better Health fee schedule · outpatient · +10 other terms | 63 | $372 | $423 | $202 | 48% | — | $324 – $1.4k |
| 14 | Ambetter fee schedule · outpatient · +6 other terms | 61 | $2.7k | $2.1k | $1.2k | 58% | — | $366 – $3.7k |
| 15 | Caresource fee schedule · outpatient · +11 other terms | 42 | $1.5k | $1.1k | $1.1k | 92% | — | $1 – $4.4k |
| 16 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $970 | $176 | 18% | — | $929 – $2.2k |
| 17 | Optum fee schedule · outpatient · +12 other terms | 35 | $1.5k | $1.8k | $1.2k | 67% | — | $692 – $5.7k |
| 18 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $759 | $716 | $376 | 53% | — | $294 – $1.7k |
| 19 | Clover fee schedule · outpatient · +6 other terms | 31 | $1.6k | $1.8k | $812 | 44% | — | $1.4k – $4.5k |
| 20 | Medica case rate · outpatient · +10 other terms | 28 | $2.3k | $2.3k | $712 | 31% | — | $977 – $3.2k |
| 21 | Cigna Healthspring fee schedule · outpatient · +4 other terms | 27 | $309 | $830 | $582 | 70% | — | $309 – $1.6k |
| 22 | Tricare fee schedule · outpatient · +12 other terms | 27 | $1.4k | $1.8k | $1.5k | 86% | — | $666 – $5.2k |
| 23 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $5.8k | $5.4k | $1.8k | 34% | — | $620 – $8.4k |
| 24 | Medicare fee schedule · outpatient · +11 other terms | 24 | $692 | $1.0k | $919 | 88% | — | $645 – $4.3k |
| 25 | MultiPlan fee schedule · outpatient · +14 other terms | 22 | $2.4k | $2.4k | $137 | 6% | — | $1.4k – $2.4k |
← Hospitals reporting CPT 21076 · Snapshot 20261113T090226Z-3ce6c0b8