Impression and custom preparation; oral surgical splint Age Under 21 (CPT 21085)
21085 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.
3 of 118 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 | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Valley View Hospital | Glenwood Springs, CO | $616.25 | $725 | $249.85 | 2.5× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $997.20 | $1,108 | $249.85 | 4.0× |
| Parkland Memorial Hospital | Dallas, TX | $48,938.27 | $122,345.67 | $237.93 | 205.7× |
"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.