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
HC PREP PROSTH ORAL SPLINT
Enumclaw, WA
See all hospitals reporting CPT 21085 →Price type
Enumclaw Regional Hospital Association’s median price of $549 is 16% above the median hospital's median price ($472), higher than 57% of the 1,478 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, 27 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 | Cigna commercial|all plans case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Kaiser medicare|all plans fee schedule · outpatient | $332 | $332 | — | — | — | $332 – $332 |
| 3 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $332 | $332 | — | — | — | $332 – $332 |
| 4 | Molina medicaid|all plans fee schedule · outpatient | $334 | $334 | — | — | — | $334 – $334 |
| 5 | Optum medicare|all plans fee schedule · outpatient | $335 | $335 | — | — | — | $335 – $335 |
| 6 | Premera medicare|all plans fee schedule · outpatient | $342 | $342 | — | — | — | $342 – $342 |
| 7 | Regence medicare|all plans fee schedule · outpatient | $342 | $342 | — | — | — | $342 – $342 |
| 8 | Humana medicare|all plans fee schedule · outpatient | $355 | $355 | — | — | — | $355 – $355 |
| 9 | Molina medicare|all plans fee schedule · outpatient | $358 | $358 | — | — | — | $358 – $358 |
| 10 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $358 | $358 | — | — | — | $358 – $358 |
| 11 | Aetna medicare|all plans fee schedule · outpatient | $406 | $406 | — | — | — | $406 – $406 |
| 12 | UnitedHealthcare medicaid|all plans fee schedule · inpatient | $547 | $547 | — | — | — | $547 – $547 |
| 13 | Molina medicaid|all plans fee schedule · inpatient | $550 | $550 | — | — | — | $550 – $550 |
| 14 | Kaiser commercial|hmo fee schedule · outpatient | $565 | $565 | — | — | — | $565 – $565 |
| 15 | Kaiser commercial|ppo fee schedule · outpatient | $622 | $622 | — | — | — | $622 – $622 |
| 16 | Molina commercial|marketplace exchange fee schedule · outpatient | $637 | $637 | — | — | — | $637 – $637 |
| 17 | Regence commercial|all plans case rate · outpatient | $692 | $692 | — | — | — | $692 – $692 |
| 18 | Aetna commercial|awh fee schedule · inpatient | $738 | $738 | — | — | — | $738 – $738 |
| 19 | Aetna commercial|all other plans fee schedule · inpatient | $885 | $885 | — | — | — | $885 – $885 |
| 20 | Premera commercial|all plans case rate · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 21 | Aetna commercial|rental fee schedule · inpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 22 | Aetna commercial|rental fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 25 | UnitedHealthcare commercial|navigate case rate · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
Last updated: Feb 28, 2026
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