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
Northridge, CA
See all hospitals reporting CPT 21089 →Price type
Dignity Community Care’s median price of $295 is 3% below the median hospital's median price ($305), higher than 47% of the 1,364 hospitals reporting CPT 21089. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 11 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 | Aetna medicare|all plans case rate · outpatient | $295 | $295 | — | — | — | $295 – $295 |
| 2 | Anthem medicare|all plans case rate · outpatient | $295 | $295 | — | — | — | $295 – $295 |
| 3 | Blue Cross Blue Shield medicare|all other plans case rate · outpatient | $295 | $295 | — | — | — | $295 – $295 |
| 4 | First Health commercial|all plans case rate · outpatient | $295 | $295 | — | — | — | $295 – $295 |
| 5 | Humana commercial|all plans case rate · outpatient | $295 | $295 | — | — | — | $295 – $295 |
| 6 | Humana medicare|all plans case rate · outpatient | $295 | $295 | — | — | — | $295 – $295 |
| 7 | Kaiser medicare|all plans fee schedule · outpatient | $295 | $295 | — | — | — | $295 – $295 |
| 8 | Molina medicare|all plans case rate · outpatient | $295 | $295 | — | — | — | $295 – $295 |
| 9 | UnitedHealthcare medicare|all plans case rate · outpatient | $295 | $295 | — | — | — | $295 – $295 |
| 10 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 11 | Blue Cross Blue Shield commercial|all other plans case rate · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
Last updated: Feb 28, 2026
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