Impression and custom preparation; oral surgical splint Other Surgical Services (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.
9 of 309 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 |
|---|---|---|---|---|---|
| Lakeside Medical Center | Belle Glade, FL | $233.10 | — | $247.34 | 0.9× |
| Valley View Hospital | Glenwood Springs, CO | $616.25 | $725 | $249.85 | 2.5× |
| Boca Raton Regional Hospital | Boca Raton, FL | $685.10 | $1,054 | $247.34 | 2.8× |
| Baptist Hospital of Miami | Miami, FL | $704.60 | $1,084 | $247.34 | 2.8× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $997.20 | $1,108 | $249.85 | 4.0× |
| UF Health Jacksonville | Jacksonville, FL | $1,050.11 | $1,909.29 | $247.34 | 4.2× |
| MedStar Washington Hospital Center | Washington, DC | $1,511.44 | $2,325.29 | $252.19 | 6.0× |
| MedStar Georgetown University Hospital | Washington, DC | $2,936.06 | $4,517.02 | $252.19 | 11.6× |
| 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.