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
$30
Average
$977
Median
$504
High
$6.6k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
432 hospitals; the 90th percentile is 25.7× 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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851 hospital rates
iThe hospitals that file a Anthem 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 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 2 | $478 | $382 | $153 | 40% | 1–10 | $167 – $503 |
| 2 | DIGNITY HEALTH Mt Shasta, CA percent of total billed charges · outpatientfrom % of charges | 1 | $251 | $251 | — | — | 1–10 | $251 – $251 |
| 3 | Froedtert Community Hospital Pewaukee Pewaukee, WI other · inpatient | 1 | $584 | $584 | — | — | 1–10 | $584 – $584 |
| 4 | Froedtert Community Hospital Pewaukee Pewaukee, WI percent of total billed charges · outpatientfrom % of charges | 2 | $154 | $154 | — | — | 1–10 | $154 – $154 |
| 5 | Lafayette County Darlington, WI facility · other · inpatient | 1 | $44 | $44 | — | — | 1–10 | $44 – $44 |
| 6 | Lafayette County Darlington, WI facility · other · outpatient | 1 | $44 | $44 | — | — | 1–10 | $44 – $44 |
| 7 | Navicent Health Baldwin Inc Milledgeville, GA other · outpatient | 1 | $769 | $769 | — | — | 1–10 | $769 – $769 |
| 8 | St. Joseph Health System, LLC Wayne, IN facility · other · outpatient | 3 | $418 | $551 | $351 | 64% | 1–10 | $261 – $1.2k |
| 9 | The Medical Center of Central Georgia Inc Macon, GA other · outpatient | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 10 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $229 | $253 | $92 | 36% | 1–10 | $154 – $376 |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $233 | $326 | $269 | 82% | — | $53 – $691 |
| 13 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $629 | $629 | — | — | — | $629 – $629 |
| 14 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $610 | $610 | — | — | — | $610 – $610 |
| 15 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 6 | $108 | $156 | $147 | 94% | — | $30 – $465 |
| 16 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 17 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 3 | $250 | $252 | $155 | 62% | — | $97 – $412 |
| 18 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY other · outpatient | 1 | $179 | $179 | — | — | — | $179 – $179 |
| 19 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $351 | $351 | $57 | 16% | — | $294 – $409 |
| 20 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $291 | $291 | $101 | 35% | — | $168 – $415 |
| 21 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $232 | $232 | — | — | — | $232 – $232 |
| 22 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $130 | $131 | $75 | 57% | — | $43 – $223 |
| 23 | Adena Health System Chillicothe, OH facility · case rate · outpatient | 4 | $3.7k | $3.8k | $432 | 11% | — | $3.4k – $4.4k |
| 24 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 3 | $619 | $544 | $224 | 41% | — | $240 – $773 |
| 25 | American Hospital Management Corporation Arcata, CA facility · case rate · outpatient | 2 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
← Payers reporting CPT 21480 · Snapshot 20261112T124536Z-e251e855