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
PREPARE FACE/ORAL PROSTHESIS
Pasadena, TX
See all hospitals reporting CPT 21084 →Price type
Pmc Hospital, Llc’s median price of $3.5k is 7% below the median hospital's median price ($3.7k), higher than 43% of the 1,428 hospitals reporting CPT 21084. 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, 20 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $592 | $592 | — | — | — | $592 – $592 |
| 2 | Blue Cross Blue Shield commercial|myblue health exchange case rate · outpatient | $758 | $758 | — | — | — | $758 – $758 |
| 3 | Blue Cross Blue Shield commercial|blue premier case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 4 | Blue Cross Blue Shield commercial|hmo case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 5 | Blue Cross Blue Shield commercial|ppo case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 6 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 7 | Cigna Healthspring medicare|all plans case rate · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 8 | Humana medicare|all plans case rate · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 9 | Cigna commercial|surefit case rate · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 10 | Aetna medicare|all plans case rate · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 11 | UnitedHealthcare medicare|all plans case rate · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 12 | Cigna commercial|hmo case rate · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 13 | Humana commercial|hmo case rate · outpatient | $4k | $4k | — | — | — | $4k – $4k |
| 14 | Humana commercial|ppo case rate · outpatient | $4k | $4k | — | — | — | $4k – $4k |
| 15 | UnitedHealthcare commercial|exchange case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 16 | Ambetter commercial|all plans case rate · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 17 | UnitedHealthcare commercial|charter case rate · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 18 | UnitedHealthcare commercial|hmo case rate · outpatient | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 19 | UnitedHealthcare commercial|ppo case rate · outpatient | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 20 | Cigna commercial|ppo case rate · outpatient | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
Last updated: Feb 28, 2026
See Speech aid 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.