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
PR PREP FACE/ORAL PROST ORAL SPLINT
Monroe, LA
See all hospitals reporting CPT 21085 →Price type
Brfhh Monroe, Llc’s median price of $1.2k is 148% above the median hospital's median price ($472), higher than 71% of the 1,469 hospitals reporting CPT 21085. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 14 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna all payor fee schedule · outpatient | $211 | $211 | — | — | — | $211 – $211 |
| 2 | Humana all payor fee schedule · outpatient | $211 | $211 | — | — | — | $211 – $211 |
| 3 | Optum all payor fee schedule · outpatient | $211 | $211 | — | — | — | $211 – $211 |
| 4 | UnitedHealthcare all payor fee schedule · outpatient | $211 | $211 | — | — | — | $211 – $211 |
| 5 | UnitedHealthcare all payor case rate · outpatient | $465 | $465 | $49 | 10% | — | $416 – $513 |
| 6 | Humana all payor other · outpatient | $686 | $686 | $483 | 70% | — | $204 – $1.2k |
| 7 | Aetna Better Health all payor other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 8 | Amerihealth Caritas all payor other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | UnitedHealthcare all payor other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 10 | Cigna all payor case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 11 | Aetna all payor case rate · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 12 | First Health all payor other · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 13 | Bcbs La all payor fee schedule · outpatient | $4.5k | $3.7k | $1.7k | 47% | — | $211 – $4.5k |
| 14 | MultiPlan all payor other · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
Last updated: Apr 1, 2026
See Custom oral surgery splint pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.