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
Low
$1.1k
Average
$4.1k
Median
$3.5k
High
$9.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
61 payers; the 90th percentile is 4.7× 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 case rate · outpatient · +24 other terms | 428 | $9.2k | $8.8k | $4.7k | 54% | — | $1 – $36.5k |
| 2 | Aetna fee schedule · outpatient · +23 other terms | 405 | $3.5k | $4.4k | $3.6k | 82% | — | $1 – $39.3k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +22 other terms | 316 | $4.4k | $6.7k | $5.0k | 75% | — | $1 – $58.9k |
| 4 | Humana fee schedule · outpatient · +23 other terms | 303 | $3.2k | $3.0k | $1.5k | 51% | — | $1 – $12.8k |
| 5 | Cigna case rate · outpatient · +18 other terms | 223 | $6.8k | $11.7k | $8.4k | 71% | — | $1 – $40.7k |
| 6 | WellCare fee schedule · outpatient · +10 other terms | 150 | $3.3k | $3.4k | $1.3k | 37% | — | $713 – $7.6k |
| 7 | Oscar case rate · outpatient · +16 other terms | 130 | $9.4k | $8.8k | $3.1k | 35% | — | $3.5k – $17.8k |
| 8 | Molina fee schedule · outpatient · +18 other terms | 124 | $3.4k | $3.7k | $1.9k | 50% | — | $1 – $7.7k |
| 9 | Anthem fee schedule · outpatient · +18 other terms | 120 | $4.1k | $4.4k | $4.2k | 94% | — | $698 – $24.3k |
| 10 | Kaiser fee schedule · outpatient · +12 other terms | 91 | $4.5k | $5.9k | $3.7k | 63% | — | $1.1k – $22.4k |
| 11 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $6.4k | $7.0k | $1.1k | 16% | — | $3.4k – $8.6k |
| 12 | Ambetter facility · fee schedule · outpatient · +6 other terms | 69 | $5.9k | $6.1k | $1.3k | 21% | — | $2.2k – $7.8k |
| 13 | Devoted fee schedule · outpatient · +6 other terms | 68 | $3.3k | $3.1k | $713 | 23% | — | $1.2k – $3.7k |
| 14 | Caresource fee schedule · outpatient · +10 other terms | 40 | $3.2k | $2.1k | $1.7k | 82% | — | $1 – $5.7k |
| 15 | Superior Healthplan case rate · outpatient · +3 other terms | 38 | $948 | $1.1k | $682 | 64% | — | $929 – $4.9k |
| 16 | Optum fee schedule · outpatient · +12 other terms | 35 | $3.2k | $3.9k | $2.7k | 71% | — | $1.2k – $12.2k |
| 17 | Bcbs Tx fee schedule · outpatient · +2 other terms | 32 | $1.5k | $1.5k | $813 | 54% | — | $616 – $3.3k |
| 18 | Clover fee schedule · outpatient · +6 other terms | 31 | $3.5k | $3.5k | $202 | 6% | — | $3.0k – $3.8k |
| 19 | Medica case rate · outpatient · +9 other terms | 28 | $3.8k | $4.6k | $2.3k | 50% | — | $1.6k – $10.6k |
| 20 | Tricare fee schedule · outpatient · +11 other terms | 27 | $3.8k | $3.7k | $819 | 22% | — | $3.0k – $5.4k |
| 21 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 25 | $4.2k | $4.2k | $838 | 20% | — | $3.2k – $5.5k |
| 22 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $9.3k | $8.7k | $2.6k | 30% | — | $1.2k – $13.4k |
| 23 | Medicare fee schedule · outpatient · +11 other terms | 24 | $1.2k | $1.6k | $853 | 54% | — | $1.1k – $3.3k |
| 24 | MultiPlan fee schedule · outpatient · +13 other terms | 22 | $5.2k | $5.1k | $357 | 7% | — | $3.0k – $5.2k |
| 25 | Regence professional · fee schedule · outpatient · +8 other terms | 20 | $917 | $1.0k | $411 | 41% | — | $802 – $3.1k |
← Hospitals reporting CPT 21084 · Snapshot 20261113T090226Z-3ce6c0b8