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
Mesa, AZ
See all hospitals reporting CPT 21087 →Price type
Agh Mesa Llc’s median price of $6.3k is 3% above the median hospital's median price ($6.1k), higher than 53% of the 1,421 hospitals reporting CPT 21087. 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, 11 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 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 2 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 3 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 4 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 5 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 6 | Humana medicare|all plans fee schedule · outpatient | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 7 | WellCare medicare|all plans fee schedule · outpatient | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 8 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 9 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 10 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 11 | UnitedHealthcare commercial|options fee schedule · outpatient | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
Last updated: Feb 28, 2026
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