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
Crowley, LA
See all hospitals reporting CPT 21089 →Price type
Acadia General Hospital, Inc’s median price of $214 is 30% below the median hospital's median price ($305), higher than 5% of the 1,372 hospitals reporting CPT 21089. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 10 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna all payor fee schedule · outpatient | $211 | $211 | — | — | — | $211 – $211 |
| 2 | Humana all payor fee schedule · outpatient | $211 | $211 | — | — | — | $211 – $211 |
| 3 | Optum all payor fee schedule · outpatient | $211 | $211 | — | — | — | $211 – $211 |
| 4 | Tricare all payor other · outpatient | $211 | $211 | — | — | — | $211 – $211 |
| 5 | UnitedHealthcare all payor fee schedule · outpatient | $211 | $211 | — | — | — | $211 – $211 |
| 6 | WellCare all payor fee schedule · outpatient | $222 | $222 | — | — | — | $222 – $222 |
| 7 | Bcbs La all payor fee schedule · outpatient | $536 | $460 | $145 | 31% | — | $211 – $556 |
| 8 | UnitedHealthcare all payor case rate · outpatient | $962 | $962 | — | — | — | $962 – $962 |
| 9 | Aetna all payor case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | Cigna all payor case rate · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
Last updated: Apr 1, 2026
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