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 FACIAL PROSTH - NEW
Rochester, MN
See all hospitals reporting CPT 21088 →Price type
Mayo Clinic’s median price of $10.2k is 158% above the median hospital's median price ($3.9k), higher than 94% of the 1,372 hospitals reporting CPT 21088. 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, 49 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 | Medica medica advantage solutions by county [1204] professional · percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 2 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco [815] professional · percent of total billed charges · outpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 3 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo and hmo [1099] professional · percent of total billed charges · outpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 4 | Blue Cross Blue Shield blue cross blue shield mayo aco [612] professional · percent of total billed charges · outpatientfrom % of charges | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 5 | Ucare swwi ucare ifp [1112] professional · percent of total billed charges · outpatientfrom % of charges | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 6 | Blue Cross Blue Shield blue cross blue shield federal retiree [949] professional · percent of total billed charges · outpatientfrom % of charges | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 7 | Blue Cross Blue Shield blue cross blue shield fep [869] professional · percent of total billed charges · outpatientfrom % of charges | $9.5k | $9.5k | — | — | — | $9.5k – $9.5k |
| 8 | Anthem blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 9 | Blue Cross Blue Shield blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 10 | Blue Cross Blue Shield complex care [808] professional · percent of total billed charges · outpatientfrom % of charges | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 11 | Blue Cross Blue Shield transplant bcbs [1141] professional · percent of total billed charges · outpatientfrom % of charges | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 12 | Healthpartners complex care [808] professional · percent of total billed charges · outpatientfrom % of charges | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 13 | Medica deanhp by medica west mc hmo [1263] professional · percent of total billed charges · outpatientfrom % of charges | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 14 | Medica medica engage [666] professional · percent of total billed charges · outpatientfrom % of charges | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 15 | Medica medica ifb midlands choice ia and ne [48] professional · percent of total billed charges · outpatientfrom % of charges | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 16 | Medica medica non mayo employees group [755] professional · percent of total billed charges · outpatientfrom % of charges | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 17 | Ucare ucare connect medicare advantage plan [944] professional · percent of total billed charges · outpatientfrom % of charges | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 18 | Healthpartners transplant [629] professional · percent of total billed charges · outpatientfrom % of charges | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 19 | Optum united healthcare [1039] professional · percent of total billed charges · outpatientfrom % of charges | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 20 | UnitedHealthcare united healthcare [1039] professional · percent of total billed charges · outpatientfrom % of charges | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 21 | UnitedHealthcare united healthcare gap exception [1388] professional · percent of total billed charges · outpatientfrom % of charges | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 22 | Medica medica [1040] professional · percent of total billed charges · outpatientfrom % of charges | $9.9k | $9.9k | — | — | — | $9.9k – $9.9k |
| 23 | Medica medica complete health [17] professional · percent of total billed charges · outpatientfrom % of charges | $9.9k | $9.9k | — | — | — | $9.9k – $9.9k |
| 24 | Optum medica medicare advantage plan behavioral health [1351] professional · percent of total billed charges · outpatientfrom % of charges | $9.9k | $9.9k | — | — | — | $9.9k – $9.9k |
| 25 | Aetna aetna [1086] professional · percent of total billed charges · outpatientfrom % of charges | $10.2k | $10.2k | — | — | — | $10.2k – $10.2k |
Last updated: Aug 14, 2026
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