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
IMPRES&PREP ORAL SURG SPLINT
Coral Gables, FL
See all hospitals reporting CPT 21085 →Price type
Hsa Cgh Llc’s median price of $297 is 37% below the median hospital's median price ($472), higher than 31% 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: 11 payers, 28 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 | Humana humana medicare hmo facility · fee schedule · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 2 | Humana humana medicare ppo facility · fee schedule · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 3 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $240 | $240 | — | — | — | $240 – $240 |
| 4 | Medicare medicare facility · fee schedule · outpatient | $243 | $243 | — | — | — | $243 – $243 |
| 5 | WellCare wellcare/staywell medicare hmo facility · fee schedule · outpatient | $243 | $243 | — | — | — | $243 – $243 |
| 6 | Amerihealth Caritas amerihealth caritas medicare facility · fee schedule · outpatient | $247 | $247 | — | — | — | $247 – $247 |
| 7 | Devoted devoted health facility · fee schedule · outpatient | $247 | $247 | — | — | — | $247 – $247 |
| 8 | UnitedHealthcare united healthcare of florida medicare advantage facility · fee schedule · outpatient | $247 | $247 | — | — | — | $247 – $247 |
| 9 | Molina molina medicare advantage program facility · fee schedule · outpatient | $252 | $252 | — | — | — | $252 – $252 |
| 10 | Cigna cigna healthsprings facility · fee schedule · outpatient | $256 | $256 | — | — | — | $256 – $256 |
| 11 | Molina molina marketplace program exchange facility · fee schedule · outpatient | $354 | $354 | — | — | — | $354 – $354 |
| 12 | Ambetter ambetter by sunshine hix facility · fee schedule · outpatient | $458 | $458 | — | — | — | $458 – $458 |
| 13 | Amerihealth Caritas amerihealth caritas next exchange facility · fee schedule · outpatient | $532 | $532 | — | — | — | $532 – $532 |
| 14 | Cigna cigna individual family facility · fee schedule · outpatient | $664 | $664 | — | — | — | $664 – $664 |
| 15 | Cigna cigna surefit facility · fee schedule · outpatient | $826 | $826 | — | — | — | $826 – $826 |
| 16 | Cigna cigna commercial facility · fee schedule · outpatient | $964 | $964 | — | — | — | $964 – $964 |
| 17 | Cigna cigna localplus benefit facility · fee schedule · outpatient | $964 | $964 | — | — | — | $964 – $964 |
| 18 | Humana humana commercial hmo facility · case rate · outpatient | $965 | $965 | — | — | — | $965 – $965 |
| 19 | Humana humana commercial ppo facility · case rate · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 20 | UnitedHealthcare united healthcare of florida exchange facility · case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 21 | Aetna Better Health aetna better health medicaid hmo facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 22 | Amerihealth Caritas amerihealth caritas medicaid facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | Humana humana medical plan / fl medicaid facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 24 | UnitedHealthcare united healthcare medicaid hmo facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 25 | Molina molina managed medicaid facility · other · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
Last updated: Aug 31, 2026
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