CPT 21077
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
Prepare face/oral prosthesis
Prices here combine facility and professional fees. See them separately →Experimental
Low
$19
Average
$7.1k
Median
$6.5k
High
$46.5k
Showing only prices reported under the fee schedule methodology. Choose another in the filter below to change the chart. 1181 hospitals; the 90th percentile is 5.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $5.8k | $6.6k | $2.5k | 38% | — | $2.7k – $11.2k |
| 2 | Beth Israel Deaconess Hospital - Needham Needham, MA | $10.0k | $10.0k | $1.5k | 15% | — | $8.5k – $11.5k |
| 3 | Ingalls Memorial Hospital Harvey, IL | $7.0k | $8.1k | $2.0k | 25% | — | $6.3k – $10.9k |
| 4 | Fairview Health Services Edina, MN | $5.6k | $5.1k | $3.2k | 63% | — | $1.2k – $13.5k |
| 5 | Hca Florida West Hospital PENSACOLA, FL | $5.9k | $5.9k | $757 | 13% | — | $5.0k – $6.8k |
| 6 | Mayo Regional Hospital Dover Foxcroft, ME | $2.5k | $2.8k | $1.5k | 54% | — | $1.1k – $7.0k |
| 7 | Corewell Health Ludington Hospital Ludington, MI | $6.2k | $7.6k | $2.2k | 29% | — | $5.9k – $10.6k |
| 8 | Kettering Medical Center Miamisburg, OH | $12.2k | $11.5k | $4.1k | 36% | — | $5.9k – $20.5k |
| 9 | Hoopeston Community Memorial Hospital Hoopeston, IL | $1.7k | $3.2k | $2.2k | 68% | — | $1.7k – $6.3k |
| 10 | Deaconess Hospital, Inc Newburgh, IN | $6.9k | $8.6k | $6.5k | 75% | — | $1.6k – $18.5k |
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