Custom oral surgery splint at Rush Medical Foundation

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

PR PREP FACE/ORAL PROST ORAL SPLINT

Quitman, MS

See all hospitals reporting CPT 21085 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Rush Medical Foundation’s median price of $569 is 21% above the median hospital's median price ($472), higher than 58% of the 1,478 hospitals reporting CPT 21085. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 21085 at Rush Medical Foundation

Negotiated rates from the hospital’s own file: 11 payers, 11 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	Humana all payor fee schedule · outpatient	$404	$404	$42	10%	—	$362 – $446
2	Cigna Healthspring all payor fee schedule · outpatient	$446	$446	—	—	—	$446 – $446
3	Optum all payor fee schedule · outpatient	$446	$446	—	—	—	$446 – $446
4	WellCare all payor fee schedule · outpatient	$446	$446	—	—	—	$446 – $446
5	Molina all payor fee schedule · outpatient	$448	$448	$2	0%	—	$446 – $451
6	Ambetter all payor fee schedule · outpatient	$624	$624	—	—	—	$624 – $624
7	MultiPlan all payor fee schedule · outpatient	$742	$742	—	—	—	$742 – $742
8	Cigna all payor fee schedule · outpatient	$933	$933	—	—	—	$933 – $933
9	UnitedHealthcare all payor fee schedule · outpatient	$1.3k	$1.0k	$411	40%	—	$446 – $1.3k
10	Aetna all payor fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
11	Bcbs Ms all payor fee schedule · outpatient	$1.1k	$1.1k	$118	10%	—	$1.0k – $1.3k

Last updated: Apr 1, 2026

Compare to other hospitals

See Custom oral surgery splint pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.