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
IMPRES&PREP SURG OBT PROSTH
Arlington, TX
See all hospitals reporting CPT 21076 →Price type
AMH Cath Labs LLC’s median price of $1.6k is 15% below the median hospital's median price ($1.9k), higher than 38% of the 1,422 hospitals reporting CPT 21076. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 19 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 | Blue Cross Blue Shield managed medicaid fee schedule · outpatient | $294 | $294 | — | — | — | $294 – $294 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $294 | $294 | — | — | — | $294 – $294 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $309 | $309 | — | — | — | $309 – $309 |
| 4 | Molina managed medicaid fee schedule · outpatient | $318 | $318 | — | — | — | $318 – $318 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $324 | $324 | — | — | — | $324 – $324 |
| 6 | Blue Cross Blue Shield exchange case rate · outpatient | $469 | $469 | — | — | — | $469 – $469 |
| 7 | Blue Cross Blue Shield hmo case rate · outpatient | $959 | $959 | — | — | — | $959 – $959 |
| 8 | Blue Cross Blue Shield ppo case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 9 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 10 | Humana medicare advantage case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 11 | Humana medicare advantage ppo case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 12 | Molina medicare advantage case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 13 | WellCare medicare advantage hmo case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | WellCare medicare advantage mmp case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 15 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 16 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 17 | UnitedHealthcare all payer case rate · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 18 | Blue Cross Blue Shield traditional case rate · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 19 | UnitedHealthcare ppo case rate · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
Last updated: Apr 21, 2026
See Surgical obturator prosthesis fitting and preparation pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.