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
Impression and custom preparation; surgical obturator prosthesis
CONROE, TX
See all hospitals reporting CPT 21076 →Price type
Hca Houston Healthcare Conroe’s median price of $2.3k is 20% above the median hospital's median price ($1.9k), higher than 59% 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, 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare mgmcd fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 2 | Molina chip fee schedule · outpatient | $324 | $324 | — | — | — | $324 – $324 |
| 3 | Molina star fee schedule · outpatient | $324 | $324 | — | — | — | $324 – $324 |
| 4 | Molina starkids fee schedule · outpatient | $324 | $324 | — | — | — | $324 – $324 |
| 5 | Molina starplus fee schedule · outpatient | $324 | $324 | — | — | — | $324 – $324 |
| 6 | Humana mcd fee schedule · outpatient | $368 | $368 | — | — | — | $368 – $368 |
| 7 | Aetna Better Health mgmcd fee schedule · outpatient | $372 | $372 | — | — | — | $372 – $372 |
| 8 | Superior Healthplan chip case rate · outpatient | $948 | $948 | — | — | — | $948 – $948 |
| 9 | Superior Healthplan chpfc case rate · outpatient | $948 | $948 | — | — | — | $948 – $948 |
| 10 | Superior Healthplan star case rate · outpatient | $948 | $948 | — | — | — | $948 – $948 |
| 11 | Superior Healthplan starkids case rate · outpatient | $948 | $948 | — | — | — | $948 – $948 |
| 12 | Superior Healthplan starplus case rate · outpatient | $948 | $948 | — | — | — | $948 – $948 |
| 13 | UnitedHealthcare smallgroup case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 14 | UnitedHealthcare narrownetworkindivexchange case rate · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 15 | Healthcare Highways narrownetwork case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 16 | UnitedHealthcare allpayerappendix case rate · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 17 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 18 | Blue Cross Blue Shield bav fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 19 | Blue Cross Blue Shield ppo fee schedule · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 20 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 21 | Blue Cross Blue Shield hmo fee schedule · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 22 | Humana hmo case rate · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 23 | Humana ppo case rate · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 24 | Oscar hix case rate · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 25 | Cigna csn case rate · outpatient | $10.7k | $10.7k | — | — | — | $10.7k – $10.7k |
Last updated: May 14, 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.