Custom oral surgery splint at Hca Houston Healthcare Conroe

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Impression and custom preparation; oral surgical splint

CONROE, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Hca Houston Healthcare Conroe’s median price of $1.1k is 137% above the median hospital's median price ($472), higher than 70% of the 1,478 hospitals reporting CPT 21085. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 21085 at Hca Houston Healthcare Conroe

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.

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#
1	UnitedHealthcare mgmcd fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
2	Molina chip fee schedule · outpatient	$96	$96	—	—	—	$96 – $96
3	Molina star fee schedule · outpatient	$96	$96	—	—	—	$96 – $96
4	Molina starkids fee schedule · outpatient	$96	$96	—	—	—	$96 – $96
5	Molina starplus fee schedule · outpatient	$96	$96	—	—	—	$96 – $96
6	Humana mcd fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
7	Aetna Better Health mgmcd fee schedule · outpatient	$111	$111	—	—	—	$111 – $111
8	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$743	$743	—	—	—	$743 – $743
9	Blue Cross Blue Shield bav fee schedule · outpatient	$818	$818	—	—	—	$818 – $818
10	Blue Cross Blue Shield ppo fee schedule · outpatient	$864	$864	—	—	—	$864 – $864
11	Blue Cross Blue Shield eposoa fee schedule · outpatient	$907	$907	—	—	—	$907 – $907
12	Superior Healthplan chip case rate · outpatient	$948	$948	—	—	—	$948 – $948
13	Superior Healthplan chpfc case rate · outpatient	$948	$948	—	—	—	$948 – $948
14	Superior Healthplan star case rate · outpatient	$948	$948	—	—	—	$948 – $948
15	Superior Healthplan starkids case rate · outpatient	$948	$948	—	—	—	$948 – $948
16	Superior Healthplan starplus case rate · outpatient	$948	$948	—	—	—	$948 – $948
17	Blue Cross Blue Shield hmo fee schedule · outpatient	$951	$951	—	—	—	$951 – $951
18	UnitedHealthcare smallgroup case rate · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
19	UnitedHealthcare allpayerappendix case rate · outpatient	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
20	UnitedHealthcare narrownetworkindivexchange case rate · outpatient	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
21	Oscar hix case rate · outpatient	$2.1k	$2.1k	—	—	—	$2.1k – $2.1k
22	Healthcare Highways narrownetwork case rate · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
23	Humana hmo case rate · outpatient	$4.7k	$4.7k	—	—	—	$4.7k – $4.7k
24	Humana ppo case rate · outpatient	$4.7k	$4.7k	—	—	—	$4.7k – $4.7k
25	Cigna csn case rate · outpatient	$10.7k	$10.7k	—	—	—	$10.7k – $10.7k

Page 1 of 2 · 27 rates

Last updated: May 14, 2026

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