Impression&Preparation Surg Obturator Prosthes (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.
153 of 4255 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Posted cash | Posted gross | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $1,400.86 | 0.0× |
| Children's Hospital of The King's Daughters | Norfolk, VA | $158.03 | $175.59 | $1,513.86 | 0.1× |
| Akron Children's Hospital | Akron, OH | $422.25 | $563 | $1,467.92 | 0.3× |
| Westfield Memorial Hospital, Inc | Westfield, NY | $444.84 | $2,022 | $1,936.82 | 0.2× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $488 | $1,628 | $1,558.65 | 0.3× |
| Cedar-sinai Marina Del Rey Hospital range across 10 matching MRF lines |
Marina Del Rey, CA | $655.63–$18,447.52 | $1,008.66–$28,380.80 | $1,995.60 | varies |
| 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× |
| Cedars-sinai Medical Center range across 9 matching MRF lines |
Los Angeles, CA | $936.62–$24,184.55 | $1,440.95–$37,207 | $1,995.60 | varies |
| Erie County Medical Center | Buffalo, NY | $954 | $3,707 | $1,936.82 | 0.5× |
| Bayside Community Hospital | Anahuac, TX | $1,046 | $1,046 | $1,558.65 | 0.7× |
| Artesia General Hospital | Artesia, NM | $1,051.80 | $1,753 | $1,536.02 | 0.7× |
| Baylor Scott and White Medical Center Uptown | Dallas, TX | $1,071 | $1,785 | $1,558.65 | 0.7× |
| Vanderbilt Bedford Hospital range across 2 matching MRF lines |
Shelbyville, TN | $1,127.52–$1,284.99 | $3,888–$4,431 | $1,481.61 | varies |
| Vanderbilt Tullahoma-Harton Hospital range across 2 matching MRF lines |
Tullahoma, TN | $1,127.52–$1,284.99 | $3,888–$4,431 | $1,472.96 | varies |
| Vanderbilt Wilson County Hospital range across 2 matching MRF lines |
Lebanon, TN | $1,127.52–$1,284.99 | $3,888–$4,431 | $1,488.56 | varies |
| Ucsf Medical Center | San Francisco, CA | $1,129.50 | $3,765 | $2,269.71 | 0.5× |
| Huntington Hospital range across 9 matching MRF lines |
Pasadena, CA | $1,147.80–$15,116.08 | $1,765.84–$23,255.50 | $1,995.60 | varies |
| Memorial Hermann Surgical Hospital Kingwood | Kingwood, TX | $1,154.30 | $3,298 | $1,558.65 | 0.7× |
| Hennepin County Medical Center range across 2 matching MRF lines |
Minneapolis, MN | $1,174.95–$2,407.05 | $2,611–$5,349 | $1,625.04 | varies |
| John H Stroger Jr Hospital | Chicago, IL | $1,232.70 | $1,761 | $1,662.71 | 0.7× |
| Provident Hospital of Chicago | Chicago, IL | $1,232.70 | $1,761 | $1,662.71 | 0.7× |
| University of Illinois Hospital and Clinics | Chicago, IL | $1,315.50 | $4,385 | $1,662.71 | 0.8× |
| Tops Surgical Specialty Hospital | Houston, TX | $1,343.30 | $3,838 | $1,558.65 | 0.9× |
| MetroHealth System | Cleveland, OH | $1,409.28 | $4,026.52 | $1,467.92 | 1.0× |
| Jackson Memorial Hospital | Miami, FL | $1,438 | $2,431 | $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× |
| St. Joseph's Medical Center | Yonkers, NY | $1,585.19 | — | $1,936.82 | 0.8× |
| Torrance Memorial Medical Center range across 7 matching MRF lines |
Torrance, CA | $1,589.98–$31,644.62 | $1,939–$38,591 | $1,995.60 | varies |
| Hurley Medical Center | Flint, MI | $1,594 | $1,594 | $1,546 | 1.0× |
| Washington Regional Medical Center | Fayetteville, AR | $1,601.25 | $2,135 | $1,462.78 | 1.1× |
| 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× |
| Nebraska Medical Center range across 2 matching MRF lines |
Omaha, NE | $1,687.86–$2,219.75 | $2,596.70–$3,415 | $1,611.16 | varies |
| Bellevue Medical Center range across 2 matching MRF lines |
Bellevue, NE | $1,687.86–$2,219.75 | $2,596.70–$3,415 | $1,611.16 | varies |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $1,692.90 | $1,881 | $1,636.74 | 1.0× |
| Lima Memorial Health System | Lima, OH | $1,697.40 | $1,886 | $1,481.52 | 1.1× |
| DeSoto Regional Health System | Mansfield, LA | $1,729 | $2,470 | $1,404.95 | 1.2× |
| Sidney Health Center | Sidney, MT | $1,748.01 | $2,823 | $1,585.19 | 1.1× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $1,752.89 | — | $1,936.82 | 0.9× |
| Jacobi Medical Center | Bronx, NY | $1,752.89 | — | $1,936.82 | 0.9× |
| Elmhurst Hospital Center | Elmhurst, NY | $1,752.89 | — | $1,936.82 | 0.9× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $1,752.89 | — | $1,936.82 | 0.9× |
| Metropolitan Hospital Center | New York, NY | $1,752.89 | — | $1,936.82 | 0.9× |
| Kings County Hospital Center | Brooklyn, NY | $1,752.89 | — | $1,936.82 | 0.9× |
| Bellevue Hospital Center | New York, NY | $1,752.89 | — | $1,936.82 | 0.9× |
| Queens Hospital Center | Jamaica, NY | $1,752.89 | — | $1,936.82 | 0.9× |
| Harlem Hospital Center | New York, NY | $1,752.89 | — | $1,936.82 | 0.9× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $1,752.89 | — | $1,936.82 | 0.9× |
| 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× |
| Driscoll Children's Hospital Rio Grande Valley | Edinburg, TX | $1,802.24 | $9,011.20 | $1,558.65 | 1.2× |
| Highland Hospital | Rochester, NY | $1,841.71 | — | $1,936.82 | 1.0× |
| Strong Memorial Hospital | Rochester, NY | $1,841.71 | — | $1,936.82 | 1.0× |
| UNM Hospital | Albuquerque, NM | $1,852.99 | $3,369.08 | $1,536.02 | 1.2× |
| Valleywise Health Medical Center | Phoenix, AZ | $1,904.02 | — | $1,655.67 | 1.1× |
| Nyack Hospital | Nyack, NY | $1,936.82 | — | $1,936.82 | 1.0× |
| Montefiore St. Luke's Cornwall | Newburgh, NY | $1,936.82 | — | $1,936.82 | 1.0× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $1,939.95 | — | $1,488.56 | 1.3× |
| Waverly Health Center | Waverly, IA | $1,973.40 | $3,795 | $1,491.60 | 1.3× |
| Titus Regional Medical Center | Mount Pleasant, TX | $2,059.80 | $3,433 | $1,558.65 | 1.3× |
| Vanderbilt University Hospital range across 2 matching MRF lines |
Nashville, TN | $2,099.52–$2,392.74 | $3,888–$4,431 | $1,523.08 | varies |
| Henry Ford Macomb Hospital | Clinton Township, MI | $2,133.48 | — | $1,546 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $2,133.48 | $2,472 | $1,546 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $2,133.48 | — | $1,546 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $2,133.48 | $2,472 | $1,546 | 1.4× |
| CAMC Greenbrier Valley Medical Center | Ronceverte, WV | $2,173 | $2,173 | $1,488.37 | 1.5× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $2,334.33 | — | $1,585.19 | 1.5× |
| Charleston Area Medical Center | Charleston, WV | $2,346 | $2,346 | $1,488.37 | 1.6× |
| Mt Sinai Hospital Medical Center | Chicago, IL | $2,382.17 | $3,403.10 | $1,662.71 | 1.4× |
| Holy Cross Hospital | Chicago, IL | $2,382.17 | $3,403.10 | $1,662.71 | 1.4× |
| Northwest Hills Surgical Hospital | Austin, TX | $2,388.96 | $6,636 | $1,558.65 | 1.5× |
| Memorial Sloan Kettering Cancer Center | New York, NY | $2,431 | $2,431 | $1,936.82 | 1.3× |
| Kaleida Health range across 2 matching MRF lines |
Buffalo, NY | $2,495–$3,967 | $2,495–$3,967 | $1,936.82 | varies |
| McKenzie County Healthcare Systems Inc | Watford City, ND | $2,548.65 | $3,921 | $1,585.19 | 1.6× |
| Omega Hospital range across 2 matching MRF lines |
Metairie, LA | $2,553.64–$22,351.37 | $4,377.66–$38,316.63 | $1,456.41 | varies |
| 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× |
| Mount Sinai Hospital | New York, NY | $2,880 | $3,200 | $1,936.82 | 1.5× |
| Mount Sinai West | New York, NY | $2,880 | $3,200 | $1,936.82 | 1.5× |
| Mount Sinai Brooklyn | Brooklyn, NY | $2,880 | $3,200 | $1,936.82 | 1.5× |
| 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× |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $3,180.36 | $6,236 | $1,512.05 | 2.1× |
| 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× |
| Mercyhealth Fhn Hospital | Freeport, IL | $3,784 | $4,730 | $1,662.71 | 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× |
| Cleveland Clinic | Cleveland, OH | $4,429.10 | $6,814 | $1,467.92 | 3.0× |
| 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× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $4,692.80 | $8,380 | $2,252.87 | 2.1× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $4,692.80 | $8,380 | $2,242.79 | 2.1× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $4,692.80 | $8,380 | $2,203.03 | 2.1× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $4,692.80 | $8,380 | $2,279.50 | 2.1× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $4,692.80 | $8,380 | $2,269.71 | 2.1× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $4,692.80 | $8,380 | $2,242.79 | 2.1× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $4,692.80 | $8,380 | $2,203.03 | 2.1× |
| Kaiser Foundation Hospital | San Rafael, CA | $4,692.80 | $8,380 | $2,200.75 | 2.1× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $4,692.80 | $8,380 | $2,242.79 | 2.1× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $4,692.80 | $8,380 | $2,252.87 | 2.1× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $4,692.80 | $8,380 | $2,282.17 | 2.1× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $4,692.80 | $8,380 | $2,203.03 | 2.1× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $4,692.80 | $8,380 | $2,133.60 | 2.2× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $4,692.80 | $8,380 | $1,995.60 | 2.4× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $4,692.80 | $8,380 | $2,174.21 | 2.2× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $4,692.80 | $8,380 | $2,190.95 | 2.1× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $4,692.80 | $8,380 | $2,279.50 | 2.1× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $4,692.80 | $8,380 | $2,013.67 | 2.3× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $4,692.80 | $8,380 | $2,243.08 | 2.1× |
| MUSC Health University Medical Center | Charleston, SC | $4,816.50 | $9,633 | $1,443.09 | 3.3× |
| Maimonides Medical Center | Brooklyn, NY | $5,082 | $5,082 | $1,936.82 | 2.6× |
| 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× |
| Roswell Park Comprehensive Cancer Center | Buffalo, NY | $6,526.88 | $6,526.88 | $1,936.82 | 3.4× |
| Alaska Native Medical Center | Anchorage, AK | $6,553 | $6,553 | $1,721.96 | 3.8× |
| Montefiore Medical Center | Bronx, NY | $8,678.58 | $13,270 | $1,936.82 | 4.5× |
| Parkland Memorial Hospital | Dallas, TX | $11,564.04 | $28,910.10 | $1,558.65 | 7.4× |
| Upstate University Hospital | Syracuse, NY | — | $2,340 | $1,936.82 | — |
| UAB Hospital | Birmingham, AL | — | $3,047 | $1,419.22 | — |
| Graham Hospital Association | Canton, IL | — | $3,162.75 | $1,662.71 | — |
| Ohio State University Hospitals | Columbus, OH | — | $5,134 | $1,528.79 | — |
| James Cancer Hospital & Solove Research Institute | Columbus, OH | — | $5,134 | $1,496.07 | — |
| University of Texas M D Anderson Cancer Center | Houston, TX | — | $7,142 | $1,558.65 | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
"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.