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 PALTL LFT PROSTH
Smithville, TX
See all hospitals reporting CPT 21083 →Price type
Ascension Seton’s median price of $896 is 76% below the median hospital's median price ($3.7k), higher than 1% of the 1,416 hospitals reporting CPT 21083. 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, 8 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 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $507 | $507 | — | — | — | $507 – $507 |
| 2 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $676 | $676 | — | — | — | $676 – $676 |
| 3 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $676 | $676 | — | — | — | $676 – $676 |
| 4 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $725 | $725 | — | — | — | $725 – $725 |
| 5 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $824 | $824 | — | — | — | $824 – $824 |
| 6 | Humana 206_humana hmo custom 20140201 other · outpatient | $969 | $969 | — | — | — | $969 – $969 |
| 7 | Oscar 4511_oscar health plan 20251001 other · both | $1k | $1k | — | — | — | $1k – $1k |
| 8 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
Last updated: Jan 1, 2026
See Palatal lift 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.