Impression and custom preparation; surgical obturator prosthesis Facility (CPT 21076)
21076 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
76 of 2639 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
Compare interactively: search all codes, set your location →
| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $1,337.23 | 0.0× |
| Children's Hospital of The King's Daughters | Norfolk, VA | $158.03 | $175.59 | $1,513.86 | 0.1× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $488 | $1,628 | $1,558.65 | 0.3× |
| Memorial Medical Center | Port Lavaca, TX | $680.38 | $971.97 | $1,558.65 | 0.4× |
| East Carroll Parish Hospital | Lake Providence, LA | $761.25 | $1,015 | $1,412.66 | 0.5× |
| Concord Hospital | Concord, NH | $844.80 | $2,816 | $1,656.71 | 0.5× |
| Concord Hospital – Laconia | Laconia, NH | $844.80 | $2,816 | $1,656.71 | 0.5× |
| Concord Hospital – Franklin | Franklin, NH | $844.80 | $2,816 | $1,656.71 | 0.5× |
| Baylor Scott and White Medical Center Uptown | Dallas, TX | $1,071 | $1,785 | $1,558.65 | 0.7× |
| Memorial Hermann Surgical Hospital Kingwood | Kingwood, TX | $1,154.30 | $3,298 | $1,558.65 | 0.7× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $1,206.26 | $4,159.50 | $1,481.61 | 0.8× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $1,206.26 | $4,159.50 | $1,472.96 | 0.8× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $1,206.26 | $4,159.50 | $1,488.56 | 0.8× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $1,263.60 | $1,404 | $1,636.74 | 0.8× |
| Tops Surgical Specialty Hospital | Houston, TX | $1,343.30 | $3,838 | $1,558.65 | 0.9× |
| Jackson Memorial Hospital | Miami, FL | $1,438 | $2,230 | $1,620.29 | 0.9× |
| Baylor Scott and White Surgical Hospital Fortworth | Fort Worth, TX | $1,450.80 | $2,418 | $1,561.22 | 0.9× |
| Lakeside Medical Center | Belle Glade, FL | $1,486.88 | — | $1,620.29 | 0.9× |
| Driscoll Childrens Hospital | Corpus Christi, TX | $1,567.06 | $7,835.30 | $1,558.65 | 1.0× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $1,626.52 | — | $1,409.04 | 1.2× |
| University Health Truman Medical Center | Kansas City, MO | $1,670.90 | $3,038 | $1,554.09 | 1.1× |
| University Health Lakewood Medical Center | Kansas City, MO | $1,670.90 | $3,038 | $1,554.09 | 1.1× |
| Baylor Scott and White Surgical Hospital Las Colin | Irving, TX | $1,675.80 | $2,793 | $1,558.65 | 1.1× |
| DeSoto Regional Health System | Mansfield, LA | $1,729 | $2,470 | $1,404.95 | 1.2× |
| Griffin Hospital | Derby, CT | $1,770.84 | — | $1,860.06 | 1.0× |
| University Medical Center | Las Vegas, NV | $1,790.10 | $5,967 | $1,695.99 | 1.1× |
| Hennepin County Medical Center | Minneapolis, MN | $1,791 | $3,980 | $1,625.04 | 1.1× |
| Driscoll Children's Hospital Rio Grande Valley | Edinburg, TX | $1,802.24 | $9,011.20 | $1,558.65 | 1.2× |
| Valleywise Health Medical Center | Phoenix, AZ | $1,904.02 | — | $1,655.67 | 1.1× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $1,939.95 | — | $1,488.56 | 1.3× |
| Nebraska Medical Center | Omaha, NE | $1,953.80 | $3,005.85 | $1,611.16 | 1.2× |
| Bellevue Medical Center | Bellevue, NE | $1,953.80 | $3,005.85 | $1,611.16 | 1.2× |
| Titus Regional Medical Center | Mount Pleasant, TX | $2,059.80 | $3,433 | $1,558.65 | 1.3× |
| CAMC Greenbrier Valley Medical Center | Ronceverte, WV | $2,173 | $2,173 | $1,488.37 | 1.5× |
| Vanderbilt University Hospital | Nashville, TN | $2,246.13 | $4,159.50 | $1,523.08 | 1.5× |
| Charleston Area Medical Center | Charleston, WV | $2,346 | $2,346 | $1,488.37 | 1.6× |
| Northwest Hills Surgical Hospital | Austin, TX | $2,388.96 | $6,636 | $1,558.65 | 1.5× |
| Texas Scottish Rite Hospital For Children | Dallas, TX | $2,765 | $2,765 | $1,558.65 | 1.8× |
| Boston Medical Center | Boston, MA | $2,787.75 | $6,195 | $1,859.49 | 1.5× |
| Summit Surgical, LLC | Hutchinson, KS | $2,868.08 | $3,585.10 | $1,426.92 | 2.0× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $2,945.12 | $4,908.54 | $1,558.65 | 1.9× |
| Scott & White Hospital-round Rock | Round Rock, TX | $2,945.12 | $4,908.54 | $1,558.65 | 1.9× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $2,945.12 | $4,908.54 | $1,558.65 | 1.9× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $2,945.12 | $4,908.54 | $1,558.65 | 1.9× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $2,945.12 | $4,908.54 | $1,558.65 | 1.9× |
| Duncan Regional Hospital, Inc | Duncan, OK | $3,020.04 | — | $1,492.27 | 2.0× |
| Treasure Valley Hospital | Boise, ID | $3,211.56 | — | $1,567.69 | 2.0× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $3,239.63 | $5,399.39 | $1,558.65 | 2.1× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $3,239.63 | $5,399.39 | $1,558.65 | 2.1× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $3,239.63 | $5,399.39 | $1,558.65 | 2.1× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $3,239.63 | $5,399.39 | $1,558.65 | 2.1× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $3,239.63 | $5,399.39 | $1,558.65 | 2.1× |
| St. Luke's Boise Medical Center | Boise, ID | $3,330 | $3,330 | $1,675.36 | 2.0× |
| St. Luke's Elmore Medical Center | Mountain Home, ID | $3,330 | $3,330 | $1,532.88 | 2.2× |
| Orlando Health Orlando Regional Medical Center | Orlando, FL | $3,675.20 | $9,188 | $1,620.29 | 2.3× |
| Orlando Health - Health Central Hospital | Ocoee, FL | $3,675.20 | $9,188 | $1,620.29 | 2.3× |
| Orlando Health Bayfront Hospital | Saint Petersburg, FL | $3,675.20 | $9,188 | $1,620.29 | 2.3× |
| Orlando Health South Lake Hospital | Clermont, FL | $3,675.20 | $9,188 | $1,620.29 | 2.3× |
| Orlando Health Sebastian River Hospital | Sebastian, FL | $3,675.20 | $9,188 | $1,620.29 | 2.3× |
| Orlando Health Melbourne Hospital | Melbourne, FL | $3,675.20 | $9,188 | $1,620.29 | 2.3× |
| Orlando Health St. Cloud Hospital | Saint Cloud, FL | $3,675.20 | $9,188 | $1,620.29 | 2.3× |
| St. Luke's Magic Valley Medical Center | Twin Falls, ID | $4,054 | $4,054 | $1,617.43 | 2.5× |
| St. Luke's Nampa Medical Center | Nampa, ID | $4,054 | $4,054 | $1,567.69 | 2.6× |
| St. Luke's Jerome Medical Center | Jerome, ID | $4,054 | $4,054 | $1,539.63 | 2.6× |
| St. Luke's McCall Medical Center | McCall, ID | $4,054 | $4,054 | $1,532.88 | 2.6× |
| St. Luke's Wood River Medical Center | Ketchum, ID | $4,054 | $4,054 | $1,532.88 | 2.6× |
| Northwest Surgical Hospital | Oklahoma City, OK | $4,476.81 | — | $1,492.27 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $4,476.81 | — | $1,492.27 | 3.0× |
| MUSC Health University Medical Center | Charleston, SC | $4,816.50 | $9,633 | $1,443.09 | 3.3× |
| Hilton Head Medical Center | Hilton Head Island, SC | $5,269.42 | — | $1,443.09 | 3.7× |
| East Cooper Medical Center | Mount Pleasant, SC | $5,269.42 | — | $1,443.09 | 3.7× |
| Coastal Carolina Medical Center | Hardeeville, SC | $5,269.42 | — | $1,443.09 | 3.7× |
| Parkland Memorial Hospital | Dallas, TX | $11,564.04 | $28,910.10 | $1,558.65 | 7.4× |
| Omega Hospital | Metairie, LA | $12,452.50 | $21,347.14 | $1,456.41 | 8.6× |
| UAB Hospital | Birmingham, AL | — | $3,047 | $1,419.22 | — |
| University of Texas M D Anderson Cancer Center | Houston, TX | — | $7,142 | $1,558.65 | — |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.