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

Medicaid pricing summary

Low

Average

$249

Median

$174

High

$973

Medicaid rate distribution

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24 hospital rates

#		Plans
1	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges	1	$157	$157	—	—	—	$157 – $157
2	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges	1	$127	$127	—	—	—	$127 – $127
3	Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient	1	$25	$25	—	—	—	$25 – $25
4	CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35
5	Clarion Hospital Clarion, PA facility · case rate · outpatient	1	$25	$25	—	—	—	$25 – $25
6	Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient	1	$236	$236	—	—	—	$236 – $236
7	Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient	1	$113	$113	—	—	—	$113 – $113
8	Emerson Hospital Concord, MA facility · fee schedule · outpatient	1	$234	$234	—	—	—	$234 – $234
9	Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both	1	$30	$30	—	—	—	$30 – $30
10	INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient	1	$236	$236	—	—	—	$236 – $236
11	INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · fee schedule · outpatient	1	$113	$113	—	—	—	$113 – $113
12	Mercy Hospital Fort Smith Smith, AR facility · case rate · outpatient	1	$297	$297	—	—	—	$297 – $297
13	Mercy Hospital Fort Smith Smith, AR facility · case rate · outpatient	1	$297	$297	—	—	—	$297 – $297
14	Mercy Hospital Oklahoma City Inc City, OK facility · case rate · outpatient	1	$297	$297	—	—	—	$297 – $297
15	Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges	1	$119	$119	—	—	—	$119 – $119
16	Mercy Hospital Springfield Ozark, MO facility · case rate · outpatient	1	$297	$297	—	—	—	$297 – $297
17	Mercy Hospital Springfield Springfield, MO facility · case rate · outpatient	1	$297	$297	—	—	—	$297 – $297
18	Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · percent of total billed charges · outpatientfrom % of charges	1	$67	$67	—	—	—	$67 – $67
19	Montefiore Medical Center Bronx, NY fee schedule · outpatient	1	$532	$532	—	—	—	$532 – $532
20	Montefiore Mount Vernon Hospital Mount Vernon, NY fee schedule · outpatient	1	$532	$532	—	—	—	$532 – $532
21	Montefiore New Rochelle Hospital New Rochelle, NY fee schedule · outpatient	1	$532	$532	—	—	—	$532 – $532
22	Ohio State University Hospitals Columbus, OH fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
23	Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges	1	$973	$973	—	—	—	$973 – $973
24	UKIAH ADVENTIST HOSPITAL Ukiah, CA fee schedule · outpatient	1	$137	$137	—	—	—	$137 – $137

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