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.
Original text from hospital filings
Tmj Dislocation Closed Treat
Low
$25
Average
$1.0k
Median
$409
High
$20.8k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1645 hospitals; the 90th percentile is 17.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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2,783 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 5 | $291 | $281 | $96 | 34% | 2–20 | $147 – $427 |
| 2 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $987 | $1.1k | $712 | 66% | 2–20 | $355 – $2.3k |
| 3 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $566 | $566 | $149 | 26% | 2–20 | $417 – $715 |
| 4 | Anderson Hospital Maryville, IL facility · other · outpatient | 1 | $734 | $734 | — | — | 1–10 | $734 – $734 |
| 5 | Baystate Noble Hospital Westfield, MA percent of total billed charges · bothfrom % of charges | 1 | $223 | $223 | — | — | 1–10 | $223 – $223 |
| 6 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 1 | $132 | $132 | — | — | 1–10 | $132 – $132 |
| 7 | DIGNITY HEALTH Mt Shasta, CA percent of total billed charges · outpatientfrom % of charges | 1 | $251 | $251 | — | — | 1–10 | $251 – $251 |
| 8 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $152 | $152 | — | — | 1–10 | $152 – $152 |
| 9 | HMH HOSPITALS CORPORATION Manahawkin, NJ facility · percent of total billed charges · outpatientfrom % of charges | 3 | $112 | $210 | $148 | 70% | 1–10 | $99 – $419 |
| 10 | Lexington Medical Center Lexington, NC percent of total billed charges · outpatientfrom % of charges | 5 | $318 | $293 | $93 | 32% | 1–10 | $125 – $387 |
| 11 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $441 | $632 | $352 | 56% | 1–10 | $404 – $1.2k |
| 12 | MCLAREN OAKLAND PONTIAC, MI percent of total billed chargesfrom % of charges | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 13 | Renown South Meadows Medical Center Reno, NV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $858 | $858 | — | — | 1–10 | $858 – $858 |
| 14 | ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Springfield, IL fee schedule · outpatient | 1 | $368 | $368 | — | — | 1–10 | $368 – $368 |
| 15 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $247 | $247 | — | — | 1–10 | $247 – $247 |
| 16 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | 1–10 | $36 – $36 |
| 17 | Texas Health Presbyterian Hospital Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 4 | $253 | $237 | $28 | 12% | 1–10 | $189 – $254 |
| 18 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $498 | $498 | — | — | — | $498 – $498 |
| 19 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $218 | $218 | — | — | — | $218 – $218 |
| 20 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 21 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $240 | $240 | — | — | — | $240 – $240 |
| 22 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 23 | AGH LAVEEN LLC Phoenix, AZ case rate · outpatient | 2 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 24 | AGH MESA LLC Mesa, AZ case rate · outpatient | 2 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 3 | $2.9k | $2.8k | $234 | 8% | — | $2.5k – $3.0k |
← Payers reporting CPT 21480 · Snapshot 20261112T124536Z-e251e855