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 IMPRSS&PRP INTERIM OBTRTR REPAIR - SIMPLE
Low
$65
Average
$1.5k
Median
$273
High
$22.7k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
818 hospitals; the 90th percentile is 19.0× 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.
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961 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $3.1k | $3.5k | 113% | 50–500 | $236 – $14.9k |
| 2 | Parkland Health Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22.7k | $22.7k | — | — | 1–10 | $22.7k – $22.7k |
| 3 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 4 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $211 | $211 | — | — | — | $211 – $211 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $832 | $884 | $112 | 13% | — | $780 – $1.0k |
| 7 | ALASKA REGIONAL HOSPITAL Anchorage, AK case rate · outpatient | 3 | $9.9k | $10.5k | $1.1k | 10% | — | $9.7k – $12.0k |
| 8 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 2 | $431 | $431 | $143 | 33% | — | $289 – $574 |
| 9 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $398 | $398 | $166 | 42% | — | $232 – $564 |
| 10 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 11 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 3 | $118 | $99 | $30 | 30% | — | $57 – $122 |
| 12 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 6 | $86 | $85 | $34 | 40% | — | $46 – $122 |
| 13 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA case rate · outpatient | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 14 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $229 | $229 | — | — | — | $229 – $229 |
| 15 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $226 | $226 | — | — | — | $226 – $226 |
| 16 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 4 | $2.6k | $2.2k | $1.1k | 52% | — | $253 – $3.2k |
| 17 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 4 | $2.6k | $2.2k | $1.1k | 52% | — | $250 – $3.2k |
| 18 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 4 | $2.6k | $2.2k | $1.1k | 52% | — | $250 – $3.2k |
| 19 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 1 | $265 | $265 | — | — | — | $265 – $265 |
| 20 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 4 | $2.6k | $2.2k | $1.1k | 52% | — | $250 – $3.2k |
| 21 | AdventHealth Porter Denver, CO fee schedule · outpatient | 4 | $2.6k | $2.2k | $1.1k | 52% | — | $250 – $3.2k |
| 22 | Adventhealth Gordon Calhoun, GA fee schedule · outpatient | 1 | $245 | $245 | — | — | — | $245 – $245 |
| 23 | Adventhealth Hendersonville Hendersonville, NC fee schedule · outpatient | 1 | $226 | $226 | — | — | — | $226 – $226 |
| 24 | Adventhealth Manchester Manchester, KY fee schedule · outpatient | 1 | $222 | $222 | — | — | — | $222 – $222 |
| 25 | Adventhealth Murray Chatsworth, GA fee schedule · outpatient | 1 | $225 | $225 | — | — | — | $225 – $225 |
← Payers reporting CPT 21089 · Snapshot 20261111T120946Z-9134e7f7