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 Prepare Face/Oral Prosthesis
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$3.0k
Median
$2.8k
High
$8.6k
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 102 hospitals; the 90th percentile is 5.5× 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.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Boston Medical Center Boston, MA | $3.9k | $4.7k | $1.8k | 39% | 2–20 | $3.7k – $9.5k |
| 2 | Henry Ford Health Novi, MI | $2.0k | $2.1k | $171 | 8% | — | $2.0k – $2.4k |
| 3 | Northside Hospital, Inc. Lawrenceville, GA | $9.0k | $7.9k | $2.9k | 36% | — | $1.0k – $12k |
| 4 | Spohn Hospital Beeville Beeville, TX | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 5 | St Luke's Magic Valley Regional Medical Center, LTD Twin Falls, ID | $3.7k | $3.8k | $104 | 3% | — | $3.7k – $4.1k |
| 6 | Northside Hospital, Inc. Atlanta, GA | $9.1k | $8.0k | $3.0k | 38% | — | $1.0k – $12k |
| 7 | Spohn Hospital Alice Alice, TX | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 8 | St. Frances Cabrini Hospital Alexandria, LA | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 9 | University Medical Center of Southern Nevada Las Vegas, NV | $4.3k | $3.3k | $1.4k | 41% | — | $1.4k – $4.3k |
| 10 | Fairfield Medical Center Lancaster, OH | $8.6k | $8.6k | $2.1k | 25% | — | $6.5k – $10.7k |
Ask Claude or any MCP client for CPT 21084 pricing at a specific hospital — see how to connect.