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 21077 →Price type
CHRISTUS Hospital - Orange’s median price of $5.9k is 6% below the median hospital's median price ($6.3k), higher than 41% of the 1,417 hospitals reporting CPT 21077. 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, 18 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 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 2 | Bcbs Tx hmo fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 3 | Bcbs Tx heb fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 4 | Bcbs Tx ppo fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 5 | Bcbs Tx traditional fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 6 | Humana choicecare other · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 7 | Healthcare Highways ppo case rate · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 8 | UnitedHealthcare hix case rate · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 9 | Aetna mm fee schedule · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 10 | Bcbs Tx mm fee schedule · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 11 | Humana gold choice mm fee schedule · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 12 | Molina medicare adv mm fee schedule · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 13 | UnitedHealthcare mm fee schedule · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 14 | WellCare mm fee schedule · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 15 | Cigna new business case rate · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 16 | Devoted mm fee schedule · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 17 | Cigna ppo case rate · outpatient | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
| 18 | UnitedHealthcare all payer case rate · outpatient | $12.8k | $12.8k | — | — | — | $12.8k – $12.8k |
Last updated: Jan 13, 2026
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