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
Calhoun, GA
See all hospitals reporting CPT 21089 →Price type
Adventhealth Gordon’s median price of $361 is 18% above the median hospital's median price ($305), higher than 55% 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: 4 payers, 6 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 | Cigna medicare managed care plan fee schedule · outpatient | $236 | $236 | — | — | — | $236 – $236 |
| 2 | Aetna medicare managed care plan fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 3 | Blue Cross Blue Shield medicare managed care plan fee schedule · outpatient | $248 | $248 | — | — | — | $248 – $248 |
| 4 | Oscar individual plan hmo exchange fee schedule · outpatient | $477 | $477 | — | — | — | $477 – $477 |
| 5 | Blue Cross Blue Shield hmo fee schedule · outpatient | $791 | $791 | — | — | — | $791 – $791 |
| 6 | Blue Cross Blue Shield ppo fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
Last updated: Apr 1, 2026
See Unlisted facial prosthetic procedure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.