Impression and custom preparation; definitive obturator prosthesis Facility (CPT 21080)
21080 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.
154 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 | — | $2,993.40 | 0.0× |
| Akron Children's Hospital | Akron, OH | $294 | $392 | $3,136.68 | 0.1× |
| Children's Hosp of Los Angeles | Los Angeles, CA | $504 | $504 | $4,264.23 | 0.1× |
| 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 | $4,264.23 | varies |
| Westfield Memorial Hospital, Inc | Westfield, NY | $826.10 | $3,755 | $4,138.63 | 0.2× |
| Unity Health - White County Medical Center | Searcy, AR | $907 | $3,628 | $3,018.80 | 0.3× |
| Unity Health - Jacksonville | Jacksonville, AR | $907 | $3,628 | $3,115.14 | 0.3× |
| Unity Health - Newport | Newport, AR | $907 | $3,628 | $3,018.80 | 0.3× |
| Cedars-sinai Medical Center range across 9 matching MRF lines |
Los Angeles, CA | $936.62–$24,184.55 | $1,440.95–$37,207 | $4,264.23 | varies |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $944 | $3,145 | $3,330.57 | 0.3× |
| Erie County Medical Center | Buffalo, NY | $954 | $6,933 | $4,138.63 | 0.2× |
| Children's Hospital Colorado | Aurora, CO | $975 | $1,500 | $3,497.42 | 0.3× |
| Huntington Hospital range across 9 matching MRF lines |
Pasadena, CA | $1,147.80–$15,116.08 | $1,765.84–$23,255.50 | $4,264.23 | varies |
| East Carroll Parish Hospital | Lake Providence, LA | $1,438.50 | $1,918 | $3,018.60 | 0.5× |
| Concord Hospital | Concord, NH | $1,579.20 | $5,264 | $3,540.10 | 0.4× |
| Concord Hospital – Laconia | Laconia, NH | $1,579.20 | $5,264 | $3,540.10 | 0.4× |
| Concord Hospital – Franklin | Franklin, NH | $1,579.20 | $5,264 | $3,540.10 | 0.4× |
| Torrance Memorial Medical Center range across 7 matching MRF lines |
Torrance, CA | $1,589.98–$31,644.62 | $1,939–$38,591 | $4,264.23 | varies |
| Artesia General Hospital | Artesia, NM | $1,956.60 | $3,261 | $3,282.20 | 0.6× |
| Bayside Community Hospital | Anahuac, TX | $1,982 | $1,982 | $3,330.57 | 0.6× |
| Vanderbilt Bedford Hospital range across 2 matching MRF lines |
Shelbyville, TN | $2,037.54–$2,153.25 | $7,026–$7,425 | $3,165.95 | varies |
| Vanderbilt Tullahoma-Harton Hospital range across 2 matching MRF lines |
Tullahoma, TN | $2,037.54–$2,153.25 | $7,026–$7,425 | $3,147.45 | varies |
| Vanderbilt Wilson County Hospital range across 2 matching MRF lines |
Lebanon, TN | $2,037.54–$2,153.25 | $7,026–$7,425 | $3,180.78 | varies |
| Touro | New Orleans, LA | $2,056.04 | $14,686 | $3,112.09 | 0.7× |
| University of Michigan Health | Ann Arbor, MI | $2,229.20 | $5,573 | $3,303.54 | 0.7× |
| John H Stroger Jr Hospital | Chicago, IL | $2,268 | $3,240 | $3,552.91 | 0.6× |
| Provident Hospital of Chicago | Chicago, IL | $2,268 | $3,240 | $3,552.91 | 0.6× |
| University of Illinois Hospital and Clinics | Chicago, IL | $2,294.40 | $7,648 | $3,552.91 | 0.6× |
| Boston Medical Center | Boston, MA | $2,787.75 | $6,195 | $3,973.40 | 0.7× |
| Park Place Surgical Hospital | Lafayette, LA | $2,944.22 | $7,317.19 | $3,002.14 | 1.0× |
| Hurley Medical Center | Flint, MI | $2,975 | $2,975 | $3,303.54 | 0.9× |
| Hennepin County Medical Center | Minneapolis, MN | $3,034.35 | $6,743 | $3,472.43 | 0.9× |
| Washington Regional Medical Center | Fayetteville, AR | $3,057 | $4,076 | $3,125.71 | 1.0× |
| Seattle Children's Hospital range across 2 matching MRF lines |
Seattle, WA | $3,182.70–$15,862 | $3,182.70–$15,862 | $3,850.04 | varies |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $3,186.90 | $3,541 | $3,497.42 | 0.9× |
| Nebraska Medical Center range across 2 matching MRF lines |
Omaha, NE | $3,230.31–$4,225 | $4,969.70–$6,500 | $3,442.75 | varies |
| Bellevue Medical Center range across 2 matching MRF lines |
Bellevue, NE | $3,230.31–$4,225 | $4,969.70–$6,500 | $3,442.75 | varies |
| Lakeside Medical Center | Belle Glade, FL | $3,255.33 | — | $3,462.26 | 0.9× |
| Lallie Kemp Regional Medical Center | Independence, LA | $3,276.13 | $5,460.21 | $3,002.14 | 1.1× |
| DeSoto Regional Health System | Mansfield, LA | $3,304 | $4,720 | $3,002.14 | 1.1× |
| Dallas Medical Center | Dallas, TX | $3,314 | $3,358.75 | $3,330.57 | 1.0× |
| MetroHealth System | Cleveland, OH | $3,319.91 | $9,485.46 | $3,136.68 | 1.1× |
| Sidney Health Center | Sidney, MT | $3,348.64 | $5,408 | $3,387.27 | 1.0× |
| St. Joseph's Medical Center | Yonkers, NY | $3,387.27 | — | $4,138.63 | 0.8× |
| Lima Memorial Health System | Lima, OH | $3,433.50 | $3,815 | $3,165.74 | 1.1× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $3,561.05 | — | $3,010.88 | 1.2× |
| University Medical Center New Orleans | New Orleans, LA | $3,587.10 | $16,305 | $3,002.14 | 1.2× |
| Manning Family Children's | New Orleans, LA | $3,661.20 | $13,560 | $3,112.09 | 1.2× |
| Waverly Health Center | Waverly, IA | $3,771.04 | $7,252 | $3,187.29 | 1.2× |
| Vanderbilt University Hospital range across 2 matching MRF lines |
Nashville, TN | $3,794.04–$4,009.50 | $7,026–$7,425 | $3,254.56 | varies |
| Lincoln Medical & Mental Health Center | Bronx, NY | $3,837.72 | — | $4,138.63 | 0.9× |
| Jacobi Medical Center | Bronx, NY | $3,837.72 | — | $4,138.63 | 0.9× |
| Elmhurst Hospital Center | Elmhurst, NY | $3,837.72 | — | $4,138.63 | 0.9× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $3,837.72 | — | $4,138.63 | 0.9× |
| Metropolitan Hospital Center | New York, NY | $3,837.72 | — | $4,138.63 | 0.9× |
| Kings County Hospital Center | Brooklyn, NY | $3,837.72 | — | $4,138.63 | 0.9× |
| Bellevue Hospital Center | New York, NY | $3,837.72 | — | $4,138.63 | 0.9× |
| Queens Hospital Center | Jamaica, NY | $3,837.72 | — | $4,138.63 | 0.9× |
| Harlem Hospital Center | New York, NY | $3,837.72 | — | $4,138.63 | 0.9× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $3,837.72 | — | $4,138.63 | 0.9× |
| Griffin Hospital | Derby, CT | $3,877.03 | — | $3,974.62 | 1.0× |
| Titus Regional Medical Center | Mount Pleasant, TX | $3,934.20 | $6,557 | $3,330.57 | 1.2× |
| Highland Hospital | Rochester, NY | $3,935.40 | — | $4,138.63 | 1.0× |
| Strong Memorial Hospital | Rochester, NY | $3,935.40 | — | $4,138.63 | 1.0× |
| Kaleida Health range across 2 matching MRF lines |
Buffalo, NY | $3,939–$9,212 | $3,939–$9,212 | $4,138.63 | varies |
| CAMC Greenbrier Valley Medical Center | Ronceverte, WV | $4,050 | $4,050 | $3,180.38 | 1.3× |
| Valleywise Health Medical Center | Phoenix, AZ | $4,068.55 | — | $3,537.87 | 1.1× |
| Nyack Hospital | Nyack, NY | $4,138.63 | — | $4,138.63 | 1.0× |
| Montefiore St. Luke's Cornwall | Newburgh, NY | $4,138.63 | — | $4,138.63 | 1.0× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $4,145.32 | — | $3,180.78 | 1.3× |
| University Hospital | Columbia, MO | $4,243.80 | $7,073 | $3,320.81 | 1.3× |
| Charleston Area Medical Center | Charleston, WV | $4,362 | $4,362 | $3,180.38 | 1.4× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $4,558.89 | — | $3,303.54 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $4,558.89 | $4,999 | $3,303.54 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $4,558.89 | — | $3,303.54 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $4,558.89 | $4,999 | $3,303.54 | 1.4× |
| Summit Surgical, LLC | Hutchinson, KS | $4,696.04 | $5,870.05 | $3,049.08 | 1.5× |
| Northwest Hills Surgical Hospital | Austin, TX | $4,804.56 | $13,346 | $3,330.57 | 1.4× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $4,928.13 | — | $3,387.27 | 1.5× |
| Omega Hospital range across 2 matching MRF lines |
Metairie, LA | $5,064.54–$22,351.37 | $8,682.06–$38,316.63 | $3,112.09 | varies |
| Memorial Sloan Kettering Cancer Center | New York, NY | $5,130 | $5,130 | $4,138.63 | 1.2× |
| McKenzie County Healthcare Systems Inc | Watford City, ND | $5,153.85 | $7,929 | $3,387.27 | 1.5× |
| Texas Scottish Rite Hospital For Children | Dallas, TX | $5,169 | $5,169 | $3,330.57 | 1.6× |
| Treasure Valley Hospital | Boise, ID | $5,341.42 | — | $3,349.87 | 1.6× |
| University Hospitals Cleveland Medical Center | Cleveland, OH | $5,447.25 | $7,263 | $3,136.68 | 1.7× |
| UH Rainbow Babies & Children's Hospital | Cleveland, OH | $5,447.25 | $7,263 | $3,136.68 | 1.7× |
| Mount Sinai Hospital | New York, NY | $5,814 | $6,460 | $4,138.63 | 1.4× |
| Mount Sinai West | New York, NY | $5,814 | $6,460 | $4,138.63 | 1.4× |
| Mount Sinai Brooklyn | Brooklyn, NY | $5,814 | $6,460 | $4,138.63 | 1.4× |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $6,030.24 | $11,824 | $3,230.98 | 1.9× |
| Montefiore Medical Center | Bronx, NY | $6,373.23 | $9,745 | $4,138.63 | 1.5× |
| Duncan Regional Hospital, Inc | Duncan, OK | $6,611.96 | — | $3,188.71 | 2.1× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $6,960.85 | $11,601.41 | $3,330.57 | 2.1× |
| Scott & White Hospital-round Rock | Round Rock, TX | $6,960.85 | $11,601.41 | $3,330.57 | 2.1× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $6,960.85 | $11,601.41 | $3,330.57 | 2.1× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $6,960.85 | $11,601.41 | $3,330.57 | 2.1× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $6,960.85 | $11,601.41 | $3,330.57 | 2.1× |
| Mercyhealth Fhn Hospital | Freeport, IL | $7,075.20 | $8,844 | $3,552.91 | 2.0× |
| Children's Mercy Hospital Kansas | Overland Park, KS | $7,466.40 | $15,555 | $3,138.92 | 2.4× |
| Children’s Mercy Adele Hall | Kansas City, MO | $7,466.40 | $15,555 | $3,320.81 | 2.2× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $8,181.60 | $14,610 | $4,813.99 | 1.7× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $8,181.60 | $14,610 | $4,792.45 | 1.7× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $8,181.60 | $14,610 | $4,707.49 | 1.7× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $8,181.60 | $14,610 | $4,870.89 | 1.7× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $8,181.60 | $14,610 | $4,849.96 | 1.7× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $8,181.60 | $14,610 | $4,792.45 | 1.7× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $8,181.60 | $14,610 | $4,707.49 | 1.7× |
| Kaiser Foundation Hospital | San Rafael, CA | $8,181.60 | $14,610 | $4,702.61 | 1.7× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $8,181.60 | $14,610 | $4,792.45 | 1.7× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $8,181.60 | $14,610 | $4,813.99 | 1.7× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $8,181.60 | $14,610 | $4,876.58 | 1.7× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $8,181.60 | $14,610 | $4,707.49 | 1.7× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $8,181.60 | $14,610 | $4,559.13 | 1.8× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $8,181.60 | $14,610 | $4,264.23 | 1.9× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $8,181.60 | $14,610 | $4,645.91 | 1.8× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $8,181.60 | $14,610 | $4,681.68 | 1.7× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $8,181.60 | $14,610 | $4,870.89 | 1.7× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $8,181.60 | $14,610 | $4,302.85 | 1.9× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $8,181.60 | $14,610 | $4,793.05 | 1.7× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $8,434.87 | $14,058.12 | $3,330.57 | 2.5× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $8,434.87 | $14,058.12 | $3,330.57 | 2.5× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $8,434.87 | $14,058.12 | $3,330.57 | 2.5× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $8,434.87 | $14,058.12 | $3,330.57 | 2.5× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $8,434.87 | $14,058.12 | $3,330.57 | 2.5× |
| MUSC Health University Medical Center | Charleston, SC | $8,608.50 | $17,217 | $3,083.64 | 2.8× |
| St. Luke's Magic Valley Medical Center | Twin Falls, ID | $8,795 | $8,795 | $3,456.17 | 2.5× |
| St. Luke's Boise Medical Center | Boise, ID | $8,795 | $8,795 | $3,579.94 | 2.5× |
| St. Luke's Nampa Medical Center | Nampa, ID | $8,795 | $8,795 | $3,349.87 | 2.6× |
| St. Luke's Jerome Medical Center | Jerome, ID | $8,795 | $8,795 | $3,289.92 | 2.7× |
| St. Luke's Elmore Medical Center | Mountain Home, ID | $8,795 | $8,795 | $3,275.49 | 2.7× |
| St. Luke's McCall Medical Center | McCall, ID | $8,795 | $8,795 | $3,275.49 | 2.7× |
| St. Luke's Wood River Medical Center | Ketchum, ID | $8,795 | $8,795 | $3,275.49 | 2.7× |
| Hilton Head Medical Center | Hilton Head Island, SC | $8,912.72 | — | $3,083.64 | 2.9× |
| East Cooper Medical Center | Mount Pleasant, SC | $8,912.72 | — | $3,083.64 | 2.9× |
| Coastal Carolina Medical Center | Hardeeville, SC | $8,912.72 | — | $3,083.64 | 2.9× |
| Northwest Surgical Hospital | Oklahoma City, OK | $9,566.13 | — | $3,188.71 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $9,566.13 | — | $3,188.71 | 3.0× |
| Cleveland Clinic | Cleveland, OH | $9,696.70 | $14,918 | $3,136.68 | 3.1× |
| Maimonides Medical Center | Brooklyn, NY | $10,129 | $10,129 | $4,138.63 | 2.4× |
| Roswell Park Comprehensive Cancer Center | Buffalo, NY | $12,821.67 | $12,821.67 | $4,138.63 | 3.1× |
| Alaska Native Medical Center | Anchorage, AK | $13,711 | $13,711 | $3,679.52 | 3.7× |
| Orlando Health Orlando Regional Medical Center | Orlando, FL | $14,900.40 | $37,251 | $3,462.26 | 4.3× |
| Orlando Health - Health Central Hospital | Ocoee, FL | $14,900.40 | $37,251 | $3,462.26 | 4.3× |
| Orlando Health Bayfront Hospital | Saint Petersburg, FL | $14,900.40 | $37,251 | $3,462.26 | 4.3× |
| Orlando Health South Lake Hospital | Clermont, FL | $14,900.40 | $37,251 | $3,462.26 | 4.3× |
| Orlando Health Sebastian River Hospital | Sebastian, FL | $14,900.40 | $37,251 | $3,462.26 | 4.3× |
| Orlando Health Melbourne Hospital | Melbourne, FL | $14,900.40 | $37,251 | $3,462.26 | 4.3× |
| Orlando Health St. Cloud Hospital | Saint Cloud, FL | $14,900.40 | $37,251 | $3,462.26 | 4.3× |
| Upstate University Hospital | Syracuse, NY | — | $5,188 | $4,138.63 | — |
| Graham Hospital Association | Canton, IL | — | $5,742.75 | $3,552.91 | — |
| UAB Hospital | Birmingham, AL | — | $6,375 | $3,032.62 | — |
| Ohio State University Hospitals | Columbus, OH | — | $8,573 | $3,266.75 | — |
| James Cancer Hospital & Solove Research Institute | Columbus, OH | — | $8,573 | $3,196.84 | — |
| University of Texas M D Anderson Cancer Center | Houston, TX | — | $16,357 | $3,330.57 | — |
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.