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 21089 →Price type
Agh Mesa Llc’s median price of $251 is 18% below the median hospital's median price ($305), higher than 33% of the 1,364 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, 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 | $157 | $157 | — | — | — | $157 – $157 |
| 2 | Humana medicare|all plans fee schedule · outpatient | $248 | $248 | — | — | — | $248 – $248 |
| 3 | WellCare medicare|all plans fee schedule · outpatient | $248 | $248 | — | — | — | $248 – $248 |
| 4 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 5 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 6 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 7 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 8 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 9 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 10 | UnitedHealthcare commercial|options fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 11 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
Last updated: Feb 28, 2026
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