CPT 21116

Jaw joint X-ray dye injection

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY

Highmark pricing summary

Low

$25

Average

$134

Median

$51

High

$655

Highmark rate distribution

Filter by billing methodology

Filter by billing class

52 hospital rates

#		Plans
1	ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient	10	$133	$159	$117	74%	—	$40 – $389
2	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient	13	$53	$51	$5	9%	—	$38 – $53
3	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient	14	$53	$50	$6	13%	—	$35 – $53
4	Broaddus Hospital Association Inc Philippi, WV facility · case rate · outpatient	1	$33	$33	—	—	—	$33 – $33
5	Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both	3	$115	$144	$117	81%	—	$30 – $368
6	CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient	13	$53	$51	$5	9%	—	$38 – $53
7	CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient	14	$53	$50	$6	13%	—	$35 – $53
8	Children's Hospital of Philadelphia, The Philadelphia, PA percent of total billed charges · outpatientfrom % of charges	1	$655	$655	$192	29%	—	$462 – $847
9	Clarion Hospital Clarion, PA facility · percent of total billed charges · outpatientfrom % of charges	2	$208	$208	—	—	—	$208 – $208
10	Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient	1	$53	$53	—	—	—	$53 – $53
11	Davis Medical Center Elkins, WV facility · case rate · outpatient	2	$115	$115	$82	71%	—	$33 – $197
12	Davis Medical Center Elkins, WV professional · fee schedule · both	3	$115	$146	$117	80%	—	$30 – $368
13	ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY case rate · outpatient	4	$378	$356	$80	23%	—	$225 – $441
14	ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient	3	$586	$829	$345	42%	—	$586 – $1.3k
15	GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient	13	$53	$51	$5	9%	—	$38 – $53
16	GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient	14	$53	$51	$6	12%	—	$35 – $53
17	HERITAGE VALLEY BEAVER BEAVER, PA fee schedule · both	1	$30	$30	—	—	—	$30 – $30
18	HERITAGE VALLEY SEWICKLEY SEWICKLEY, PA fee schedule · both	1	$30	$30	—	—	—	$30 – $30
19	Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient	1	$247	$247	—	—	—	$247 – $247
20	Independence Health System Latrobe Area Hospital Latrobe, PA fee schedule · outpatient	1	$31	$31	—	—	—	$31 – $31
21	Independence Health System Westmoreland Regional Hospital Greeensburg, PA fee schedule · outpatient	1	$31	$31	—	—	—	$31 – $31
22	JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · inpatient	13	$53	$51	$5	9%	—	$38 – $53
23	JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient	14	$53	$50	$6	13%	—	$35 – $53
24	Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient	1	$25	$25	—	—	—	$25 – $25
25	SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · inpatient	13	$53	$51	$5	9%	—	$38 – $53

Page 1 of 3

← Payers reporting CPT 21116 · Snapshot 20261113T090226Z-3ce6c0b8