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
PR IMPRESS&PREP MANDIBULAR RES >=5
Low
$1.3k
Average
$5.7k
Median
$5.4k
High
$16.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
61 payers; the 90th percentile is 4.5× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +25 other terms | 473 | $5.9k | $6.7k | $8.1k | 120% | — | $1 – $173.8k |
| 2 | Aetna fee schedule · outpatient · +24 other terms | 409 | $6.1k | $6.8k | $4.9k | 72% | — | $1 – $40.5k |
| 3 | Humana fee schedule · outpatient · +22 other terms | 334 | $5.8k | $4.5k | $2.7k | 61% | — | $1 – $17.1k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +21 other terms | 322 | $6.9k | $7.6k | $6.1k | 81% | — | $1 – $58.9k |
| 5 | Cigna case rate · outpatient · +17 other terms | 223 | $6.8k | $11.9k | $8.4k | 71% | — | $1 – $40.7k |
| 6 | Molina fee schedule · outpatient · +16 other terms | 189 | $2.5k | $2.6k | $3.5k | 133% | — | $1 – $13.7k |
| 7 | WellCare fee schedule · outpatient · +10 other terms | 153 | $6.0k | $6.0k | $2.6k | 43% | — | $589 – $13.9k |
| 8 | Oscar case rate · outpatient · +16 other terms | 130 | $9.4k | $8.5k | $3.1k | 36% | — | $3.5k – $17.8k |
| 9 | Anthem fee schedule · outpatient · +18 other terms | 119 | $7.4k | $6.2k | $7.0k | 113% | — | $675 – $43.3k |
| 10 | Kaiser fee schedule · outpatient · +11 other terms | 91 | $8.1k | $10.7k | $7.0k | 66% | — | $1.1k – $42.0k |
| 11 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $6.4k | $6.9k | $1.0k | 15% | — | $3.4k – $8.6k |
| 12 | Devoted fee schedule · outpatient · +6 other terms | 68 | $6.0k | $5.5k | $1.6k | 28% | — | $1.2k – $6.7k |
| 13 | Aetna Better Health fee schedule · outpatient · +9 other terms | 63 | $708 | $907 | $919 | 101% | — | $617 – $5.5k |
| 14 | Ambetter fee schedule · outpatient · +6 other terms | 62 | $10.2k | $7.7k | $5.2k | 68% | — | $680 – $14.3k |
| 15 | Caresource fee schedule · outpatient · +10 other terms | 40 | $5.8k | $3.4k | $3.3k | 98% | — | $1 – $10.1k |
| 16 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $1.1k | $1.1k | 99% | — | $929 – $8.9k |
| 17 | Optum fee schedule · outpatient · +12 other terms | 35 | $5.7k | $6.7k | $5.1k | 77% | — | $1.2k – $21.9k |
| 18 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $1.9k | $1.7k | $1.6k | 93% | — | $561 – $6.1k |
| 19 | Clover fee schedule · outpatient · +6 other terms | 31 | $6.5k | $6.3k | $402 | 6% | — | $5.3k – $7.0k |
| 20 | Medica case rate · outpatient · +10 other terms | 28 | $4.0k | $5.0k | $2.2k | 45% | — | $1.6k – $10.6k |
| 21 | Cigna Healthspring fee schedule · outpatient · +4 other terms | 27 | $589 | $3.0k | $2.6k | 90% | — | $589 – $6.2k |
| 22 | Tricare fee schedule · outpatient · +11 other terms | 27 | $5.4k | $5.1k | $947 | 19% | — | $3.8k – $7.0k |
| 23 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $10.0k | $9.7k | $2.2k | 23% | — | $1.1k – $13.7k |
| 24 | Medicare fee schedule · outpatient · +11 other terms | 24 | $1.2k | $2.1k | $1.9k | 88% | — | $1.1k – $5.9k |
| 25 | MultiPlan fee schedule · outpatient · +13 other terms | 22 | $9.4k | $9.3k | $530 | 6% | — | $5.6k – $9.4k |
← Hospitals reporting CPT 21081 · Snapshot 20261112T181611Z-3fa9fb76