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
PR IMPRESS&PREP OBTURATOR PROSTH
Rochester, MN
See all hospitals reporting CPT 21076 →Price type
Mayo Clinic’s median price of $4.9k is 160% above the median hospital's median price ($1.9k), higher than 90% 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: 16 payers, 71 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 | Ucare ucare msho medicare advantage plan [598] professional · fee schedule · outpatient | $364 | $364 | — | — | — | $364 – $364 |
| 2 | Ucare ucare connect medicare advantage plan [944] professional · fee schedule · outpatient | $393 | $393 | — | — | — | $393 – $393 |
| 3 | Optum veteran affairs optum [1054] professional · fee schedule · outpatient | $447 | $447 | — | — | — | $447 – $447 |
| 4 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco [815] professional · fee schedule · outpatient | $455 | $455 | — | — | — | $455 – $455 |
| 5 | Ucare ucare medicare advantage plan [643] professional · fee schedule · outpatient | $455 | $455 | — | — | — | $455 – $455 |
| 6 | Medica medica advantage solutions by county [1204] professional · fee schedule · outpatient | $460 | $460 | — | — | — | $460 – $460 |
| 7 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan msho [226] professional · fee schedule · outpatient | $469 | $469 | — | — | — | $469 – $469 |
| 8 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo and hmo [1099] professional · fee schedule · outpatient | $469 | $469 | — | — | 1–10 | $469 – $469 |
| 9 | Medica medica dual solution msho medicare advantage plan [1004] professional · fee schedule · outpatient | $478 | $478 | — | — | — | $478 – $478 |
| 10 | Blue Cross Blue Shield mc xr pb bcbs platinum blue medicare advantage plan [935] professional · fee schedule · outpatient | $513 | $513 | — | — | — | $513 – $513 |
| 11 | Ucare ucare essentia care medicare advantage plan [775] professional · fee schedule · outpatient | $513 | $513 | — | — | — | $513 – $513 |
| 12 | Medica medica prime solutions part b medicare advantage plan [150] facility · fee schedule · outpatient | $593 | $593 | — | — | — | $593 – $593 |
| 13 | Healthpartners healthpartners part b medicare advantage plan [496] professional · fee schedule · outpatient | $670 | $670 | — | — | — | $670 – $670 |
| 14 | Healthpartners healthpartners medicare advantage plan part b [610] facility · fee schedule · outpatient | $889 | $889 | — | — | — | $889 – $889 |
| 15 | Blue Cross Blue Shield blue cross blue shield federal retiree [949] professional · fee schedule · outpatient | $893 | $893 | — | — | — | $893 – $893 |
| 16 | Anthem blue cross blue shield by payor [178] professional · fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 17 | Blue Cross Blue Shield blue cross blue shield by payor [178] professional · fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 18 | Blue Cross Blue Shield blue cross blue shield mayo aco [612] professional · percent of total billed charges · outpatientfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 19 | Ucare swwi ucare ifp [1112] professional · percent of total billed charges · outpatientfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 20 | Blue Cross Blue Shield blue cross blue shield federal retiree [949] professional · percent of total billed charges · outpatientfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 21 | Blue Cross Blue Shield blue cross blue shield fep [869] professional · percent of total billed charges · outpatientfrom % of charges | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 22 | Anthem blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 23 | Blue Cross Blue Shield blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 24 | Blue Cross Blue Shield complex care [808] professional · percent of total billed charges · outpatientfrom % of charges | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 25 | Blue Cross Blue Shield transplant bcbs [1141] professional · percent of total billed charges · outpatientfrom % of charges | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
Last updated: Aug 14, 2026
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