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
PR PREP FACE/ORAL PROST OBTURATOR
Dubuque, IA
See all hospitals reporting CPT 21076 →Price type
The Finley Hospital’s median price of $1.6k is 15% below the median hospital's median price ($1.9k), higher than 39% of the 1,422 hospitals reporting CPT 21076. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 22 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 | Aetna medicare advantage fee schedule · both | $656 | $656 | — | — | — | $656 – $656 |
| 2 | Molina medicare advantage fee schedule · both | $669 | $669 | — | — | — | $669 – $669 |
| 3 | Wellmark medicare advantage fee schedule · both | $669 | $669 | — | — | — | $669 – $669 |
| 4 | Humana medicare advantage fee schedule · both | $688 | $688 | — | — | — | $688 – $688 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $688 | $688 | — | — | — | $688 – $688 |
| 6 | Wellmark commercial fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 7 | Wellmark hmo fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 8 | Aetna medicare advantage case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 9 | Molina medicare advantage case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | Wellmark medicare advantage case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | Humana medicare advantage case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 12 | UnitedHealthcare medicare advantage case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 13 | Wellmark ppo fee schedule · both | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | Cigna commercial fee schedule · both | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 15 | Aetna hmo fee schedule · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 16 | Aetna ppo fee schedule · both | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 17 | UnitedHealthcare hmo fee schedule · both | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 18 | UnitedHealthcare ppo fee schedule · both | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 19 | UnitedHealthcare hmo fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 20 | UnitedHealthcare ppo fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 21 | Aetna hmo fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 22 | Aetna ppo fee schedule · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
Last updated: Jan 28, 2026
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