Impression and custom preparation; facial prosthesis Facility (CPT 21088)
21088 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.
99 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× |
| MetroHealth System range across 3 matching MRF lines |
Cleveland, OH | $170.72–$3,110.90 | $487.78–$8,888.29 | $3,136.68 | varies |
| Akron Children's Hospital | Akron, OH | $595.50 | $794 | $3,136.68 | 0.2× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $621.47 | $2,143 | $3,165.95 | 0.2× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $621.47 | $2,143 | $3,147.45 | 0.2× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $621.47 | $2,143 | $3,180.78 | 0.2× |
| 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 |
| Unity Health - White County Medical Center | Searcy, AR | $804.50 | $3,218 | $3,018.80 | 0.3× |
| Unity Health - Jacksonville | Jacksonville, AR | $804.50 | $3,218 | $3,115.14 | 0.3× |
| Unity Health - Newport | Newport, AR | $804.50 | $3,218 | $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 |
| Erie County Medical Center range across 2 matching MRF lines |
Buffalo, NY | $954–$18,314.02 | $14,951 | $4,138.63 | varies |
| 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 |
| Vanderbilt University Hospital | Nashville, TN | $1,157.22 | $2,143 | $3,254.56 | 0.4× |
| Nebraska Medical Center | Omaha, NE | $1,365 | $2,100 | $3,442.75 | 0.4× |
| Bellevue Medical Center | Bellevue, NE | $1,365 | $2,100 | $3,442.75 | 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 |
| Touro | New Orleans, LA | $2,055.90 | $14,685 | $3,112.09 | 0.7× |
| 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× |
| 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 | $3,586.88 | $16,304 | $3,002.14 | 1.2× |
| Manning Family Children's | New Orleans, LA | $3,660.93 | $13,559 | $3,112.09 | 1.2× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $3,837.72 | $9,594.30 | $4,138.63 | 0.9× |
| Jacobi Medical Center | Bronx, NY | $3,837.72 | $9,594.30 | $4,138.63 | 0.9× |
| Elmhurst Hospital Center | Elmhurst, NY | $3,837.72 | $9,594.30 | $4,138.63 | 0.9× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $3,837.72 | $9,594.30 | $4,138.63 | 0.9× |
| Metropolitan Hospital Center | New York, NY | $3,837.72 | $9,594.30 | $4,138.63 | 0.9× |
| Kings County Hospital Center | Brooklyn, NY | $3,837.72 | $9,594.30 | $4,138.63 | 0.9× |
| Bellevue Hospital Center | New York, NY | $3,837.72 | $9,594.30 | $4,138.63 | 0.9× |
| Queens Hospital Center | Jamaica, NY | $3,837.72 | $9,594.30 | $4,138.63 | 0.9× |
| Harlem Hospital Center | New York, NY | $3,837.72 | $9,594.30 | $4,138.63 | 0.9× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $3,837.72 | $9,594.30 | $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× |
| Northwest Hills Surgical Hospital | Austin, TX | $4,320.72 | $12,002 | $3,330.57 | 1.3× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $4,558.89 | — | $3,303.54 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $4,558.89 | — | $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 | — | $3,303.54 | 1.4× |
| Summit Surgical, LLC | Hutchinson, KS | $4,696.04 | $5,870.05 | $3,049.08 | 1.5× |
| 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× |
| Treasure Valley Hospital | Boise, ID | $5,341.42 | $5,555 | $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× |
| Alaska Native Medical Center | Anchorage, AK | $5,919 | $5,919 | $3,679.52 | 1.6× |
| Newark-Wayne Community Hospital | Newark, NY | $6,004.78 | $9,238.13 | $4,138.63 | 1.5× |
| Rochester General Hospital | Rochester, NY | $6,004.78 | $9,238.13 | $4,138.63 | 1.5× |
| Duncan Regional Hospital, Inc | Duncan, OK | $6,611.96 | — | $3,188.71 | 2.1× |
| MUSC Health University Medical Center | Charleston, SC | $7,515 | $15,030 | $3,083.64 | 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× |
| Roswell Park Comprehensive Cancer Center | Buffalo, NY | $28,957.77 | $28,957.77 | $4,138.63 | 7.0× |
| UAB Hospital | Birmingham, AL | — | $6,375 | $3,032.62 | — |
| Ohio State University Hospitals | Columbus, OH | — | $6,502 | $3,266.75 | — |
| James Cancer Hospital & Solove Research Institute | Columbus, OH | — | $6,502 | $3,196.84 | — |
| University of Texas M D Anderson Cancer Center | Houston, TX | — | $18,952 | $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.