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 INTRM OBT PROSTH
Arlington, TX
See all hospitals reporting CPT 21079 →Price type
AMH Cath Labs LLC’s median price of $3.4k is 8% below the median hospital's median price ($3.7k), higher than 42% of the 1,439 hospitals reporting CPT 21079. 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 | $505 | $505 | — | — | — | $505 – $505 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $505 | $505 | — | — | — | $505 – $505 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $530 | $530 | — | — | — | $530 – $530 |
| 4 | Molina managed medicaid fee schedule · outpatient | $545 | $545 | — | — | — | $545 – $545 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $555 | $555 | — | — | — | $555 – $555 |
| 6 | Blue Cross Blue Shield exchange case rate · outpatient | $804 | $804 | — | — | — | $804 – $804 |
| 7 | Blue Cross Blue Shield hmo case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 8 | Blue Cross Blue Shield ppo case rate · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 9 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 10 | Humana medicare advantage case rate · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 11 | Humana medicare advantage ppo case rate · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 12 | Molina medicare advantage case rate · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 13 | WellCare medicare advantage hmo case rate · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 14 | WellCare medicare advantage mmp case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 15 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 16 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 17 | Blue Cross Blue Shield traditional case rate · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 18 | UnitedHealthcare all payer case rate · outpatient | $13.4k | $13.4k | — | — | — | $13.4k – $13.4k |
| 19 | UnitedHealthcare ppo case rate · outpatient | $17.1k | $17.1k | — | — | — | $17.1k – $17.1k |
Last updated: Apr 21, 2026
See Interim obturator prosthesis fitting and custom preparation pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.