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; palatal lift prosthesis
SAN ANTONIO, TX
See all hospitals reporting CPT 21083 →Price type
Methodist Hospital’s median price of $6.2k is 68% above the median hospital's median price ($3.7k), higher than 76% of the 1,416 hospitals reporting CPT 21083. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 27 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 | WellCare mcrhmo fee schedule · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 5 | WellCare mcrpos fee schedule · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 6 | WellCare mcrppo fee schedule · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 7 | WellCare mcrsnp fee schedule · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 8 | WellCare pffs fee schedule · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 9 | Oscar broadnetworkhix case rate · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 10 | Oscar epo case rate · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 11 | Oscar pos case rate · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 12 | Oscar ppo case rate · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 13 | Cigna newbusinessnetwork case rate · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 14 | Healthcare Highways narrownetwork case rate · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 15 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 16 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 17 | Cigna hmo case rate · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 18 | Cigna openaccessplus case rate · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 19 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $7.9k | $7.9k | — | — | — | $7.9k – $7.9k |
| 20 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $7.9k | $7.9k | — | — | — | $7.9k – $7.9k |
| 21 | Cigna ppo case rate · outpatient | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 22 | Blue Cross Blue Shield healthselectopenaccess(eposoa) fee schedule · outpatient | $8.7k | $8.7k | — | — | — | $8.7k – $8.7k |
| 23 | UnitedHealthcare smallgroup case rate · outpatient | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 24 | Blue Cross Blue Shield ppo fee schedule · outpatient | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 25 | UnitedHealthcare charter case rate · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
Last updated: May 1, 2026
See Palatal lift prosthesis fitting and custom preparation pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.