Prepare face/oral prosthesis (CPT 21089)
21089 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.
109 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 | — | $213.84 | 0.3× |
| Nebraska Medical Center range across 9 matching MRF lines |
Omaha, NE | $71.50–$1,247.35 | $110–$1,919 | $245.94 | varies |
| Bellevue Medical Center range across 9 matching MRF lines |
Bellevue, NE | $71.50–$1,247.35 | $110–$1,919 | $245.94 | varies |
| Connecticut Children's Medical Center | Hartford, CT | $133.20 | $222 | $283.94 | 0.5× |
| Childrens Hospital of Wisconsin | Milwaukee, WI | $166.51 | $302.75 | $235.91 | 0.7× |
| Cleveland Clinic | Cleveland, OH | $174.85 | $269 | $224.08 | 0.8× |
| Baylor Scott & White Medical Center - Temple range across 2 matching MRF lines |
Temple, TX | $207.10–$1,607.44 | $345.17–$2,679.06 | $237.93 | varies |
| Baylor Scott & White Medical Center - Hillcrest range across 2 matching MRF lines |
Waco, TX | $207.10–$1,607.44 | $345.17–$2,679.06 | $237.93 | varies |
| Baylor Scott & White Medical Center- College Stati range across 2 matching MRF lines |
College Station, TX | $207.10–$1,607.44 | $345.17–$2,679.06 | $237.93 | varies |
| Baylor Scott & White Medical Center - Marble Falls range across 2 matching MRF lines |
Marble Falls, TX | $207.10–$1,607.44 | $345.17–$2,679.06 | $237.93 | varies |
| Baylor Scott & White Hospital Brenham range across 2 matching MRF lines |
Brenham, TX | $207.10–$1,607.44 | $345.17–$2,679.06 | $237.93 | varies |
| Hilton Head Medical Center | Hilton Head Island, SC | $211.46 | — | $220.29 | 1.0× |
| East Cooper Medical Center | Mount Pleasant, SC | $211.46 | — | $220.29 | 1.0× |
| Coastal Carolina Medical Center | Hardeeville, SC | $211.46 | — | $220.29 | 1.0× |
| Baylor Scott & White Medical Center -taylor range across 2 matching MRF lines |
Taylor, TX | $214.20–$1,432.65 | $357–$2,387.75 | $237.93 | varies |
| Scott & White Hospital-round Rock range across 2 matching MRF lines |
Round Rock, TX | $214.20–$1,432.65 | $357–$2,387.75 | $237.93 | varies |
| Baylor Scott & White Medical Center - Pflugerville range across 2 matching MRF lines |
Pflugerville, TX | $214.20–$1,432.65 | $357–$2,387.75 | $237.93 | varies |
| Baylor Scott & White Medical Center - Buda range across 2 matching MRF lines |
Buda, TX | $214.20–$1,432.65 | $357–$2,387.75 | $237.93 | varies |
| Baylor Scott & White Medical Center- Austin range across 2 matching MRF lines |
Austin, TX | $214.20–$1,432.65 | $357–$2,387.75 | $237.93 | varies |
| Charleston Area Medical Center | Charleston, WV | $232 | $232 | $227.20 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $233.10 | — | $247.34 | 0.9× |
| Akron Children's Hospital | Akron, OH | $237.75 | $317 | $224.08 | 1.1× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $239.54 | $826 | $226.17 | 1.1× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $239.54 | $826 | $224.85 | 1.1× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $239.54 | $826 | $227.23 | 1.1× |
| St. Joseph's Medical Center | Yonkers, NY | $241.98 | — | $295.66 | 0.8× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $254.99 | — | $215.09 | 1.2× |
| Lima Memorial Health System | Lima, OH | $265.50 | $295 | $226.15 | 1.2× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $274.80 | — | $295.66 | 0.9× |
| Jacobi Medical Center | Bronx, NY | $274.80 | — | $295.66 | 0.9× |
| Elmhurst Hospital Center | Elmhurst, NY | $274.80 | — | $295.66 | 0.9× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $274.80 | — | $295.66 | 0.9× |
| Metropolitan Hospital Center | New York, NY | $274.80 | — | $295.66 | 0.9× |
| Kings County Hospital Center | Brooklyn, NY | $274.80 | — | $295.66 | 0.9× |
| Bellevue Hospital Center | New York, NY | $274.80 | — | $295.66 | 0.9× |
| Queens Hospital Center | Jamaica, NY | $274.80 | — | $295.66 | 0.9× |
| Harlem Hospital Center | New York, NY | $274.80 | — | $295.66 | 0.9× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $274.80 | — | $295.66 | 0.9× |
| Boston Medical Center | Boston, MA | $276.75 | $615 | $283.85 | 1.0× |
| Griffin Hospital | Derby, CT | $277.61 | — | $283.94 | 1.0× |
| Highland Hospital | Rochester, NY | $281.14 | — | $295.66 | 1.0× |
| Strong Memorial Hospital | Rochester, NY | $281.14 | — | $295.66 | 1.0× |
| MUSC Health University Medical Center range across 18 matching MRF lines |
Charleston, SC | $284–$5,596 | $568–$11,192 | $220.29 | varies |
| Valleywise Health Medical Center | Phoenix, AZ | $290.65 | — | $252.74 | 1.1× |
| Nyack Hospital | Nyack, NY | $295.66 | — | $295.66 | 1.0× |
| Montefiore St. Luke's Cornwall | Newburgh, NY | $295.66 | — | $295.66 | 1.0× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $296.14 | — | $227.23 | 1.3× |
| Summit Surgical, LLC | Hutchinson, KS | $301.44 | $376.80 | $217.82 | 1.4× |
| Boca Raton Regional Hospital | Boca Raton, FL | $325.65 | $501 | $247.34 | 1.3× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $325.68 | — | $236 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $325.68 | — | $236 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $325.68 | — | $236 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $325.68 | — | $236 | 1.4× |
| Treasure Valley Hospital | Boise, ID | $334.89 | $1,341 | $239.31 | 1.4× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $373.88 | — | $241.98 | 1.5× |
| Hennepin County Medical Center | Minneapolis, MN | $376.20 | $836 | $248.06 | 1.5× |
| Memorial Sloan Kettering Cancer Center | New York, NY | $389 | $389 | $295.66 | 1.3× |
| McKenzie County Healthcare Systems Inc | Watford City, ND | $399.10 | $614 | $241.98 | 1.6× |
| Vanderbilt University Hospital | Nashville, TN | $446.04 | $826 | $232.50 | 1.9× |
| Roswell Park Comprehensive Cancer Center range across 20 matching MRF lines |
Buffalo, NY | $446.83–$3,312.65 | $446.83–$3,312.65 | $295.66 | varies |
| Duncan Regional Hospital, Inc | Duncan, OK | $473.44 | — | $227.80 | 2.1× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $571.20 | $1,020 | $343.90 | 1.7× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $571.20 | $1,020 | $342.36 | 1.7× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $571.20 | $1,020 | $336.29 | 1.7× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $571.20 | $1,020 | $347.97 | 1.6× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $571.20 | $1,020 | $346.47 | 1.6× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $571.20 | $1,020 | $342.36 | 1.7× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $571.20 | $1,020 | $336.29 | 1.7× |
| Kaiser Foundation Hospital | San Rafael, CA | $571.20 | $1,020 | $335.95 | 1.7× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $571.20 | $1,020 | $342.36 | 1.7× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $571.20 | $1,020 | $343.90 | 1.7× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $571.20 | $1,020 | $348.37 | 1.6× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $571.20 | $1,020 | $336.29 | 1.7× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $571.20 | $1,020 | $325.70 | 1.8× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $571.20 | $1,020 | $304.63 | 1.9× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $571.20 | $1,020 | $331.89 | 1.7× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $571.20 | $1,020 | $334.45 | 1.7× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $571.20 | $1,020 | $347.97 | 1.6× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $571.20 | $1,020 | $307.39 | 1.9× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $571.20 | $1,020 | $342.41 | 1.7× |
| St. John's Riverside Hospital | Yonkers, NY | $639.20 | $752 | $295.66 | 2.2× |
| 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 | $304.63 | varies |
| Northwest Surgical Hospital | Oklahoma City, OK | $683.40 | — | $227.80 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $683.40 | — | $227.80 | 3.0× |
| Arkansas Children's Hospital | Little Rock, AR | $905.52 | $1,006.13 | $222.54 | 4.1× |
| Arkansas Children's Northwest | Springdale, AR | $905.52 | $1,006.13 | $221.06 | 4.1× |
| Cedars-sinai Medical Center range across 9 matching MRF lines |
Los Angeles, CA | $936.62–$24,184.55 | $1,440.95–$37,207 | $304.63 | varies |
| Huntington Hospital range across 9 matching MRF lines |
Pasadena, CA | $1,147.80–$15,116.08 | $1,765.84–$23,255.50 | $304.63 | varies |
| Seattle Children's Hospital | Seattle, WA | $1,168.40 | $1,168.40 | $275.04 | 4.2× |
| Torrance Memorial Medical Center range across 7 matching MRF lines |
Torrance, CA | $1,589.98–$31,644.62 | $1,939–$38,591 | $304.63 | varies |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $1,607.44 | $2,679.06 | $237.93 | 6.8× |
| Baylor Scott and White Medical Center Irving | Irving, TX | $1,607.44 | $2,679.06 | $237.93 | 6.8× |
| Baylor Scott and White All Saints Medical Center | Fort Worth, TX | $1,607.44 | $2,679.06 | $237.93 | 6.8× |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | $1,607.44 | $2,679.06 | $237.93 | 6.8× |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | $1,607.44 | $2,679.06 | $238.32 | 6.7× |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett, TX | $1,607.44 | $2,679.06 | $237.93 | 6.8× |
| Baylor Scott & White Heart and Vascular Hospital | Dallas, TX | $1,607.44 | $2,679.06 | $237.93 | 6.8× |
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | $1,607.44 | $2,679.06 | $237.93 | 6.8× |
| Baylor Regional Medical Center at Plano | Plano, TX | $1,607.44 | $2,679.06 | $237.93 | 6.8× |
| The Heart Hospital Baylor Denton | Denton, TX | $1,607.44 | $2,679.06 | $237.93 | 6.8× |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | $1,607.44 | $2,679.06 | $237.93 | 6.8× |
| Baylor Scott and White Medical Center Mckinney | Mc Kinney, TX | $1,607.44 | $2,679.06 | $237.93 | 6.8× |
| Baylor Scott and White Medical Center Frisco at Pg | Frisco, TX | $1,607.44 | $2,679.06 | $237.93 | 6.8× |
| Omega Hospital range across 2 matching MRF lines |
Metairie, LA | $1,927.73–$22,351.37 | $3,304.68–$38,316.63 | $222.32 | varies |
| Parkland Memorial Hospital | Dallas, TX | $15,125.95 | $37,814.88 | $237.93 | 63.6× |
| Ohio State University Hospitals | Columbus, OH | — | $161 | $233.37 | — |
| James Cancer Hospital & Solove Research Institute | Columbus, OH | — | $161 | $228.38 | — |
| University of Texas M D Anderson Cancer Center range across 5 matching MRF lines |
Houston, TX | — | $417–$5,793 | $237.93 | — |
| Erie County Medical Center | Buffalo, NY | — | $14,951 | $295.66 | — |
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.