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
Impression and custom preparation; mandibular resection prosthesis
SAN ANTONIO, TX
See all hospitals reporting CPT 21081 →Price type
Methodist Hospital’s median price of $6.1k is about the same as the median hospital's median price ($6.1k), higher than 50% of the 1,421 hospitals reporting CPT 21081. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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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Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 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 | $561 | $561 | — | — | — | $561 – $561 |
| 5 | First Health mcdstarkids fee schedule · outpatient | $572 | $572 | — | — | — | $572 – $572 |
| 6 | First Health starplus fee schedule · outpatient | $572 | $572 | — | — | — | $572 – $572 |
| 7 | Molina chip fee schedule · outpatient | $617 | $617 | — | — | — | $617 – $617 |
| 8 | Molina mcdstar fee schedule · outpatient | $617 | $617 | — | — | — | $617 – $617 |
| 9 | Molina star+plus fee schedule · outpatient | $617 | $617 | — | — | — | $617 – $617 |
| 10 | Molina starkids fee schedule · outpatient | $617 | $617 | — | — | — | $617 – $617 |
| 11 | Humana mgmcd fee schedule · outpatient | $701 | $701 | — | — | — | $701 – $701 |
| 12 | Aetna Better Health chip fee schedule · outpatient | $708 | $708 | — | — | — | $708 – $708 |
| 13 | Aetna Better Health chipepo fee schedule · outpatient | $708 | $708 | — | — | — | $708 – $708 |
| 14 | Aetna Better Health chipperinate fee schedule · outpatient | $708 | $708 | — | — | — | $708 – $708 |
| 15 | Aetna Better Health chpfc fee schedule · outpatient | $708 | $708 | — | — | — | $708 – $708 |
| 16 | Aetna Better Health star fee schedule · outpatient | $708 | $708 | — | — | — | $708 – $708 |
| 17 | Aetna Better Health star+plus fee schedule · outpatient | $708 | $708 | — | — | — | $708 – $708 |
| 18 | Aetna Better Health starkids fee schedule · outpatient | $708 | $708 | — | — | — | $708 – $708 |
| 19 | Oscar broadnetworkhix case rate · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 20 | Oscar epo case rate · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 21 | Oscar pos case rate · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 22 | Oscar ppo case rate · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 23 | WellCare mcrhmo fee schedule · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 24 | WellCare mcrpos fee schedule · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 25 | WellCare mcrppo fee schedule · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
Last updated: May 1, 2026
See Custom lower jaw resection prosthesis fitting pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.