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 ORAL SPLINT
Dubuque, IA
See all hospitals reporting CPT 21085 →Price type
The Finley Hospital’s median price of $490 is 4% above the median hospital's median price ($472), higher than 52% of the 1,478 hospitals reporting CPT 21085. 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 case rate · outpatient | $227 | $227 | — | — | — | $227 – $227 |
| 2 | Molina medicare advantage case rate · outpatient | $227 | $227 | — | — | — | $227 – $227 |
| 3 | Wellmark medicare advantage case rate · outpatient | $227 | $227 | — | — | — | $227 – $227 |
| 4 | Humana medicare advantage case rate · outpatient | $233 | $233 | — | — | — | $233 – $233 |
| 5 | UnitedHealthcare medicare advantage case rate · outpatient | $233 | $233 | — | — | — | $233 – $233 |
| 6 | Aetna medicare advantage fee schedule · both | $447 | $447 | — | — | — | $447 – $447 |
| 7 | Molina medicare advantage fee schedule · both | $456 | $456 | — | — | — | $456 – $456 |
| 8 | Wellmark medicare advantage fee schedule · both | $456 | $456 | — | — | — | $456 – $456 |
| 9 | Humana medicare advantage fee schedule · both | $469 | $469 | — | — | — | $469 – $469 |
| 10 | UnitedHealthcare medicare advantage fee schedule · both | $469 | $469 | — | — | — | $469 – $469 |
| 11 | UnitedHealthcare hmo fee schedule · outpatient | $490 | $490 | — | — | — | $490 – $490 |
| 12 | UnitedHealthcare ppo fee schedule · outpatient | $490 | $490 | — | — | — | $490 – $490 |
| 13 | Aetna hmo fee schedule · outpatient | $508 | $508 | — | — | — | $508 – $508 |
| 14 | Aetna ppo fee schedule · outpatient | $536 | $536 | — | — | — | $536 – $536 |
| 15 | Wellmark commercial fee schedule · both | $944 | $944 | — | — | — | $944 – $944 |
| 16 | Wellmark hmo fee schedule · both | $944 | $944 | — | — | — | $944 – $944 |
| 17 | Wellmark ppo fee schedule · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Cigna commercial fee schedule · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | Aetna hmo fee schedule · both | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 20 | Aetna ppo fee schedule · both | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 21 | UnitedHealthcare hmo fee schedule · both | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 22 | UnitedHealthcare ppo fee schedule · both | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
Last updated: Jan 28, 2026
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