Custom obturator prosthesis fitting at Methodist Hospital

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; definitive obturator prosthesis

SAN ANTONIO, TX

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How this price compares nationally

Methodist Hospital’s median price of $5.8k is 55% above the median hospital's median price ($3.7k), higher than 75% of the 1,430 hospitals reporting CPT 21080. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 21080 at Methodist Hospital

Negotiated rates from the hospital’s own file: 10 payers, 42 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	First Health chip per diem · outpatient	$365	$365	—	—	—	$365 – $365
2	First Health chipperinate per diem · outpatient	$365	$365	—	—	—	$365 – $365
3	First Health mcdstar per diem · outpatient	$365	$365	—	—	—	$365 – $365
4	UnitedHealthcare mcd fee schedule · outpatient	$607	$607	—	—	—	$607 – $607
5	First Health mcdstarkids fee schedule · outpatient	$619	$619	—	—	—	$619 – $619
6	First Health starplus fee schedule · outpatient	$619	$619	—	—	—	$619 – $619
7	Molina chip fee schedule · outpatient	$667	$667	—	—	—	$667 – $667
8	Molina mcdstar fee schedule · outpatient	$667	$667	—	—	—	$667 – $667
9	Molina star+plus fee schedule · outpatient	$667	$667	—	—	—	$667 – $667
10	Molina starkids fee schedule · outpatient	$667	$667	—	—	—	$667 – $667
11	Humana mgmcd fee schedule · outpatient	$758	$758	—	—	—	$758 – $758
12	Aetna Better Health chip fee schedule · outpatient	$766	$766	—	—	—	$766 – $766
13	Aetna Better Health chipepo fee schedule · outpatient	$766	$766	—	—	—	$766 – $766
14	Aetna Better Health chipperinate fee schedule · outpatient	$766	$766	—	—	—	$766 – $766
15	Aetna Better Health chpfc fee schedule · outpatient	$766	$766	—	—	—	$766 – $766
16	Aetna Better Health star fee schedule · outpatient	$766	$766	—	—	—	$766 – $766
17	Aetna Better Health star+plus fee schedule · outpatient	$766	$766	—	—	—	$766 – $766
18	Aetna Better Health starkids fee schedule · outpatient	$766	$766	—	—	—	$766 – $766
19	WellCare mcrhmo fee schedule · outpatient	$3.4k	$3.4k	—	—	—	$3.4k – $3.4k
20	WellCare mcrpos fee schedule · outpatient	$3.4k	$3.4k	—	—	—	$3.4k – $3.4k
21	WellCare mcrppo fee schedule · outpatient	$3.4k	$3.4k	—	—	—	$3.4k – $3.4k
22	WellCare mcrsnp fee schedule · outpatient	$3.4k	$3.4k	—	—	—	$3.4k – $3.4k
23	WellCare pffs fee schedule · outpatient	$3.4k	$3.4k	—	—	—	$3.4k – $3.4k
24	Oscar broadnetworkhix case rate · outpatient	$5.8k	$5.8k	—	—	—	$5.8k – $5.8k
25	Oscar epo case rate · outpatient	$5.8k	$5.8k	—	—	—	$5.8k – $5.8k

Page 1 of 2 · 42 rates

Last updated: May 1, 2026

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