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
Impres&prep def obt prosth
Gary, IN
See all hospitals reporting CPT 21080 →Price type
The Methodist Hospitals, Inc.’s median price of $5.2k is 40% above the median hospital's median price ($3.7k), higher than 72% of the 1,430 hospitals reporting CPT 21080. 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, 16 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 hmo_and_ppo_contracted_plans facility · fee schedule · outpatient | $691 | $691 | — | — | — | $691 – $691 |
| 2 | Aetna medicare advantage facility · fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 3 | Anthem medicare advantage facility · fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 4 | Humana medicare advantage facility · fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 5 | Medicare medicare facility · fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 6 | UnitedHealthcare navigate and core payer facility · case rate · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 7 | UnitedHealthcare hmo_and_ppo_contracted_plans facility · case rate · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 8 | Anthem pathway essentials facility · fee schedule · outpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 9 | Caresource caresource facility · fee schedule · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 10 | Ambetter ambetter healthplan facility · fee schedule · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 11 | Anthem individual on exchange facility · fee schedule · outpatient | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 12 | Anthem traditonal,hmo,ppo contracted plans and individual off exchange facility · fee schedule · outpatient | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 13 | Anthem indiana hmo medicaid facility · fee schedule · outpatient | $13.1k | $13.1k | — | — | — | $13.1k – $13.1k |
| 14 | Caresource indiana hmo medicaid facility · fee schedule · outpatient | $13.1k | $13.1k | — | — | — | $13.1k – $13.1k |
| 15 | Humana indiana hmo medicaid facility · fee schedule · outpatient | $13.1k | $13.1k | — | — | — | $13.1k – $13.1k |
| 16 | UnitedHealthcare indiana hmo medicaid facility · fee schedule · outpatient | $13.1k | $13.1k | — | — | — | $13.1k – $13.1k |
Last updated: Aug 18, 2026
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