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
Sacramento, CA
See all hospitals reporting CPT 21089 →Price type
Dignity Community Care’s median price of $305 is about the same as the median hospital's median price ($305), higher than 50% of the 1,372 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: 6 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 | Anthem medicare|all other plans fee schedule · outpatient | $288 | $288 | — | — | — | $288 – $288 |
| 2 | Aetna medicare|all plans fee schedule · outpatient | $305 | $305 | — | — | — | $305 – $305 |
| 3 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $305 | $305 | — | — | — | $305 – $305 |
| 4 | Humana commercial|all plans fee schedule · outpatient | $305 | $305 | — | — | — | $305 – $305 |
| 5 | Humana medicare|all plans fee schedule · outpatient | $305 | $305 | — | — | — | $305 – $305 |
| 6 | Kaiser medicare|all plans fee schedule · outpatient | $305 | $305 | — | — | — | $305 – $305 |
| 7 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $311 | $311 | — | — | — | $311 – $311 |
| 8 | Anthem medicare|imperial fee schedule · outpatient | $314 | $314 | — | — | — | $314 – $314 |
Last updated: Feb 28, 2026
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