Impression and custom preparation; speech aid prosthesis Facility (CPT 21084)
21084 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.
146 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× |
| 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 | $748.66 | $3,403 | $4,138.63 | 0.2× |
| Unity Health - White County Medical Center | Searcy, AR | $850.50 | $3,402 | $3,018.80 | 0.3× |
| Unity Health - Jacksonville | Jacksonville, AR | $850.50 | $3,402 | $3,115.14 | 0.3× |
| Unity Health - Newport | Newport, AR | $850.50 | $3,402 | $3,018.80 | 0.3× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $868 | $2,892 | $3,330.57 | 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 |
| Erie County Medical Center | Buffalo, NY | $954 | $6,223 | $4,138.63 | 0.2× |
| 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 | $1,372.50 | $1,830 | $3,018.60 | 0.5× |
| Concord Hospital | Concord, NH | $1,417.20 | $4,724 | $3,540.10 | 0.4× |
| Concord Hospital – Laconia | Laconia, NH | $1,417.20 | $4,724 | $3,540.10 | 0.4× |
| Concord Hospital – Franklin | Franklin, NH | $1,417.20 | $4,724 | $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 |
| Seattle Children's Hospital | Seattle, WA | $1,603.20 | $1,603.20 | $3,850.04 | 0.4× |
| Artesia General Hospital | Artesia, NM | $1,815 | $3,025 | $3,282.20 | 0.6× |
| Bayside Community Hospital | Anahuac, TX | $1,883 | $1,883 | $3,330.57 | 0.6× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $2,029.71 | $6,999 | $3,165.95 | 0.6× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $2,029.71 | $6,999 | $3,147.45 | 0.6× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $2,029.71 | $6,999 | $3,180.78 | 0.6× |
| John H Stroger Jr Hospital | Chicago, IL | $2,050.30 | $2,929 | $3,552.91 | 0.6× |
| Provident Hospital of Chicago | Chicago, IL | $2,050.30 | $2,929 | $3,552.91 | 0.6× |
| Touro | New Orleans, LA | $2,055.90 | $14,685 | $3,112.09 | 0.7× |
| University of Illinois Hospital and Clinics | Chicago, IL | $2,674.50 | $8,915 | $3,552.91 | 0.8× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $2,709.12 | $4,515.20 | $3,330.57 | 0.8× |
| Baylor Scott and White Medical Center Irving | Irving, TX | $2,709.12 | $4,515.20 | $3,330.57 | 0.8× |
| Baylor Scott and White All Saints Medical Center | Fort Worth, TX | $2,709.12 | $4,515.20 | $3,330.57 | 0.8× |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | $2,709.12 | $4,515.20 | $3,330.57 | 0.8× |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | $2,709.12 | $4,515.20 | $3,336.05 | 0.8× |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett, TX | $2,709.12 | $4,515.20 | $3,330.57 | 0.8× |
| Baylor Scott & White Heart and Vascular Hospital | Dallas, TX | $2,709.12 | $4,515.20 | $3,330.57 | 0.8× |
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | $2,709.12 | $4,515.20 | $3,330.57 | 0.8× |
| Baylor Regional Medical Center at Plano | Plano, TX | $2,709.12 | $4,515.20 | $3,330.57 | 0.8× |
| The Heart Hospital Baylor Denton | Denton, TX | $2,709.12 | $4,515.20 | $3,330.57 | 0.8× |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | $2,709.12 | $4,515.20 | $3,330.57 | 0.8× |
| Baylor Scott and White Medical Center Mckinney | Mc Kinney, TX | $2,709.12 | $4,515.20 | $3,330.57 | 0.8× |
| Baylor Scott and White Medical Center Frisco at Pg | Frisco, TX | $2,709.12 | $4,515.20 | $3,330.57 | 0.8× |
| Hurley Medical Center | Flint, MI | $2,766 | $2,766 | $3,303.54 | 0.8× |
| Washington Regional Medical Center | Fayetteville, AR | $2,862 | $3,816 | $3,125.71 | 0.9× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $2,973.60 | $3,304 | $3,497.42 | 0.9× |
| MetroHealth System | Cleveland, OH | $2,978.07 | $8,508.78 | $3,136.68 | 0.9× |
| Nebraska Medical Center range across 2 matching MRF lines |
Omaha, NE | $2,996.89–$4,225 | $4,610.60–$6,500 | $3,442.75 | varies |
| Bellevue Medical Center range across 2 matching MRF lines |
Bellevue, NE | $2,996.89–$4,225 | $4,610.60–$6,500 | $3,442.75 | varies |
| DeSoto Regional Health System | Mansfield, LA | $3,003 | $4,290 | $3,002.14 | 1.0× |
| Sidney Health Center | Sidney, MT | $3,050.18 | $4,926 | $3,387.27 | 0.9× |
| Baylor Scott and White Surgical Hospital at Sherma | Sherman, TX | $3,102 | $5,170 | $3,341.75 | 0.9× |
| Lakeside Medical Center | Belle Glade, FL | $3,255.33 | — | $3,462.26 | 0.9× |
| 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× |
| Boston Medical Center | Boston, MA | $3,447 | $7,660 | $3,973.40 | 0.9× |
| Waverly Health Center | Waverly, IA | $3,476.20 | $6,685 | $3,187.29 | 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 | $3,586.88 | $16,304 | $3,002.14 | 1.2× |
| Manning Family Children's | New Orleans, LA | $3,660.93 | $13,559 | $3,112.09 | 1.2× |
| Titus Regional Medical Center | Mount Pleasant, TX | $3,736.80 | $6,228 | $3,330.57 | 1.1× |
| Vanderbilt University Hospital | Nashville, TN | $3,779.46 | $6,999 | $3,254.56 | 1.2× |
| 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× |
| 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× |
| 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× |
| Kaleida Health range across 2 matching MRF lines |
Buffalo, NY | $4,217–$9,212 | $4,217–$9,212 | $4,138.63 | varies |
| Montefiore Medical Center | Bronx, NY | $4,466.59 | $6,829.65 | $4,138.63 | 1.1× |
| 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× |
| Texas Scottish Rite Hospital For Children | Dallas, TX | $4,778 | $4,778 | $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 |
| McKenzie County Healthcare Systems Inc | Watford City, ND | $5,153.85 | $7,929 | $3,387.27 | 1.5× |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $5,301.45 | $10,395 | $3,230.98 | 1.6× |
| Treasure Valley Hospital | Boise, ID | $5,341.42 | — | $3,349.87 | 1.6× |
| University of Cincinnati Medical Center, LLC | Cincinnati, OH | $5,481.60 | $9,136 | $3,287.07 | 1.7× |
| West Chester Hospital | West Chester, OH | $5,481.60 | $9,136 | $3,230.98 | 1.7× |
| Mount Sinai Hospital | New York, NY | $5,580 | $6,200 | $4,138.63 | 1.3× |
| Mount Sinai West | New York, NY | $5,580 | $6,200 | $4,138.63 | 1.3× |
| Mount Sinai Brooklyn | Brooklyn, NY | $5,580 | $6,200 | $4,138.63 | 1.3× |
| Mercyhealth Fhn Hospital | Freeport, IL | $6,350.40 | $7,938 | $3,552.91 | 1.8× |
| Duncan Regional Hospital, Inc | Duncan, OK | $6,611.96 | — | $3,188.71 | 2.1× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Scott & White Hospital-round Rock | Round Rock, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| MUSC Health University Medical Center | Charleston, SC | $7,515 | $15,030 | $3,083.64 | 2.4× |
| Northwest Hills Surgical Hospital | Austin, TX | $7,881.48 | $21,893 | $3,330.57 | 2.4× |
| 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× |
| 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× |
| Alaska Native Medical Center | Anchorage, AK | $11,480 | $11,480 | $3,679.52 | 3.1× |
| Roswell Park Comprehensive Cancer Center | Buffalo, NY | $11,502.18 | $11,502.18 | $4,138.63 | 2.8× |
| Upstate University Hospital | Syracuse, NY | — | $3,113 | $4,138.63 | — |
| Graham Hospital Association | Canton, IL | — | $3,574.08 | $3,552.91 | — |
| UAB Hospital | Birmingham, AL | — | $6,375 | $3,032.62 | — |
| University of Texas M D Anderson Cancer Center | Houston, TX | — | $7,154 | $3,330.57 | — |
| Ohio State University Hospitals | Columbus, OH | — | $8,382 | $3,266.75 | — |
| James Cancer Hospital & Solove Research Institute | Columbus, OH | — | $8,382 | $3,196.84 | — |
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.