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 nasal prosth
Gary, IN
See all hospitals reporting CPT 21087 →Price type
The Methodist Hospitals, Inc.’s median price of $9.3k is 52% above the median hospital's median price ($6.1k), higher than 82% of the 1,421 hospitals reporting CPT 21087. 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 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 2 | UnitedHealthcare navigate and core payer facility · case rate · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 3 | UnitedHealthcare hmo_and_ppo_contracted_plans facility · case rate · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 4 | Aetna medicare advantage facility · fee schedule · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 5 | Anthem medicare advantage facility · fee schedule · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 6 | Humana medicare advantage facility · fee schedule · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 7 | Medicare medicare facility · fee schedule · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 8 | Anthem pathway essentials facility · fee schedule · outpatient | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 9 | Caresource caresource facility · fee schedule · outpatient | $10.3k | $10.3k | — | — | — | $10.3k – $10.3k |
| 10 | Ambetter ambetter healthplan facility · fee schedule · outpatient | $12.5k | $12.5k | — | — | — | $12.5k – $12.5k |
| 11 | Anthem indiana hmo medicaid facility · fee schedule · outpatient | $13.1k | $13.1k | — | — | — | $13.1k – $13.1k |
| 12 | Caresource indiana hmo medicaid facility · fee schedule · outpatient | $13.1k | $13.1k | — | — | — | $13.1k – $13.1k |
| 13 | Humana indiana hmo medicaid facility · fee schedule · outpatient | $13.1k | $13.1k | — | — | — | $13.1k – $13.1k |
| 14 | UnitedHealthcare indiana hmo medicaid facility · fee schedule · outpatient | $13.1k | $13.1k | — | — | — | $13.1k – $13.1k |
| 15 | Anthem individual on exchange facility · fee schedule · outpatient | $16.6k | $16.6k | — | — | — | $16.6k – $16.6k |
| 16 | Anthem traditonal,hmo,ppo contracted plans and individual off exchange facility · fee schedule · outpatient | $20.7k | $20.7k | — | — | — | $20.7k – $20.7k |
Last updated: Aug 18, 2026
See Custom nasal prosthesis fitting and preparation pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.