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
Orange, TX
See all hospitals reporting CPT 21076 →Price type
CHRISTUS Hospital - Orange’s median price of $1.5k is 21% below the median hospital's median price ($1.9k), higher than 29% 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: 9 payers, 25 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 | UnitedHealthcare chip km case rate · outpatient | $297 | $297 | — | — | — | $297 – $297 |
| 2 | UnitedHealthcare star kid km case rate · outpatient | $297 | $297 | — | — | — | $297 – $297 |
| 3 | UnitedHealthcare star km case rate · outpatient | $297 | $297 | — | — | — | $297 – $297 |
| 4 | UnitedHealthcare star plus km case rate · outpatient | $297 | $297 | — | — | — | $297 – $297 |
| 5 | Molina chip km fee schedule · outpatient | $309 | $309 | — | — | — | $309 – $309 |
| 6 | Molina star km fee schedule · outpatient | $309 | $309 | — | — | — | $309 – $309 |
| 7 | Molina star plus km fee schedule · outpatient | $309 | $309 | — | — | — | $309 – $309 |
| 8 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $567 | $567 | — | — | — | $567 – $567 |
| 9 | Bcbs Tx hmo fee schedule · outpatient | $567 | $567 | — | — | — | $567 – $567 |
| 10 | Bcbs Tx heb fee schedule · outpatient | $629 | $629 | — | — | — | $629 – $629 |
| 11 | Bcbs Tx ppo fee schedule · outpatient | $673 | $673 | — | — | — | $673 – $673 |
| 12 | Bcbs Tx traditional fee schedule · outpatient | $698 | $698 | — | — | — | $698 – $698 |
| 13 | Aetna mm fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 14 | Bcbs Tx mm fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 15 | Humana gold choice mm fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 16 | Molina medicare adv mm fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 17 | UnitedHealthcare mm fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 18 | WellCare mm fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 19 | Devoted mm fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 20 | Humana choicecare other · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 21 | UnitedHealthcare hix case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 22 | Healthcare Highways ppo case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 23 | UnitedHealthcare all payer case rate · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 24 | Cigna new business case rate · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 25 | Cigna ppo case rate · outpatient | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
Last updated: Jan 13, 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.