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Procedure price report · Other non-OR therapeutic procedures on nose, mouth and pharynx

Custom-made permanent plate to cover a palate opening

CPT 21080the billing code this page is about

Taking impressions and custom building the long-term prosthesis that seals an opening between the mouth and nasal cavity after healing is complete.

Hospitals typically charge $4,327 cash for this outpatient procedure — the median across 223 hospitals that filed a usable cash price; the average of the middle 60% is $4,800. Most fall between $2,190 and $8,182 (20th–80th percentile).

Hospitals
223
States
35
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 223 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,579$3,057$4,327$6,961$8,435

The most expensive tenth of hospitals charges at least 5.3× what the cheapest tenth charges ($1,579 vs $8,435).

How the prices are spread

$975 – $1,225: 3 hospitals$975$1,225 – $1,539: 7 hospitals$1,539 – $1,934: 8 hospitals$1,539$1,934 – $2,431: 20 hospitals$2,431 – $3,054: 6 hospitals$2,431$3,054 – $3,837: 31 hospitals$3,837 – $4,822: 52 hospitals$3,837$4,822 – $6,059: 19 hospitals$6,059 – $7,613: 18 hospitals$6,059$7,613 – $9,566: 37 hospitals$7,613median $4,327price bands are equal on a log scale
Hospitals per price band (201 of 223 — the bands cover the 5th to 95th percentile)
FromToHospitals
$975$1,2253
$1,225$1,5397
$1,539$1,9348
$1,934$2,43120
$2,431$3,0546
$3,054$3,83731
$3,837$4,82252
$4,822$6,05919
$6,059$7,61318
$7,613$9,56637

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,387
Median cash price$4,327
Cash as a multiple of Medicare1.28×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $4,327.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 8 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: no hospital in the corpus filed a usable priceWIMichigan: 7 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $3,838 across 23 hospitalsNY$3,838Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $4,370 across 14 hospitalsIA$4,370Indiana: no hospital in the corpus filed a usable priceINOhio: median $5,447 across 12 hospitalsOH$5,447Pennsylvania: median $901 across 14 hospitalsPA$901New Jersey: median $4,327 across 29 hospitalsNJ$4,327Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $8,182 across 21 hospitalsCA$8,182Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,190 across 12 hospitalsOK$2,190Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $6,961 across 17 hospitalsTX$6,961Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,327. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA21$8,182+89%$8,182 – $8,182
Texas TX17$6,961+61%$6,961 – $8,435
Ohio OH12$5,447+26%$3,434 – $6,516
Iowa IA14$4,370+1%$4,370 – $4,370
New Jersey NJ29$4,3270%$3,593 – $5,419
New York NY23$3,838−11%$3,838 – $4,139
Oklahoma OK12$2,190−49%$2,190 – $2,190
Pennsylvania PA14$901−79%$826 – $1,981
Florida FL9not enough hospitals filed a usable price
Illinois IL8not enough hospitals filed a usable price
Michigan MI7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Wyoming WY1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $4,327.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care197$4,327$2,190 – $8,182
Children’s11fewer than 20 hospitals
Critical access14fewer than 20 hospitals
Ownership
For-profit21$4,783$1,314 – $8,795
Government23$3,838$3,034 – $5,577
Non-profit178$4,351$2,190 – $8,182
System affiliation
Part of a system187$4,370$2,788 – $8,182
Independent36$3,320$1,847 – $5,065

Cash price vs list price

Median list price (chargemaster)$6,460
Median cash price$4,327
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

132 hospitals filed a usable inpatient cash price for this code. The median is $4,370 and the average of the middle 60% is $5,150; most fall between $2,190 and $8,182.

Cash price percentiles, inpatient, across 132 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,780$2,268$4,370$8,182$8,795

The most expensive tenth of hospitals charges at least 4.9× what the cheapest tenth charges ($1,780 vs $8,795).

Of the 145 hospitals that filed this code inpatient, 132 gave a usable cash price; 8 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 5 a list price only.

How complete is this

223 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 239 hospitals that filed this code at all gave us
Usable cash price — counted223
Cash price carrying a plausibility flag — shown on the compare tool, excluded here10
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded5
Hospitals that filed this code239

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other non-OR therapeutic procedures on nose, mouth and pharynx family.

Hospitals file this code under descriptions such as Impression & Prepj Definitive Obturator Prosth.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Custom-made permanent plate to cover a palate opening (CPT 21080) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-21080-custom-made-permanent-plate-to-cover-a-palate-opening