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
$24
Average
$781
Median
$253
High
$11.1k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 9.8× 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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32 hospital rates
iThe hospitals that file a Excellus 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 | Alice Hyde Medical Center Malone, NY facility · fee schedule · outpatient | 2 | $492 | $492 | $360 | 73% | — | $132 – $852 |
| 2 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 3 | Alice Hyde Medical Center Malone, NY professional · fee schedule · both | 3 | $164 | $143 | $44 | 31% | — | $81 – $183 |
| 4 | CLIFTON-FINE HEALTHCARE CORPORATION STAR LAKE, NY fee schedule · outpatient | 2 | $473 | $473 | $226 | 48% | — | $247 – $698 |
| 5 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · fee schedule · outpatient | 3 | $277 | $607 | $558 | 92% | — | $151 – $1.4k |
| 6 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY professional · fee schedule · both | 3 | $81 | $98 | $64 | 65% | — | $29 – $183 |
| 7 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 8 | Crouse Hospital Syracuse, NY fee schedule · outpatient | 4 | $478 | $467 | $257 | 55% | — | $118 – $829 |
| 9 | Elizabethtown Community Hospital Elizabethtown, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $220 | $281 | $94 | 33% | — | $209 – $413 |
| 10 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 5 | $95 | $141 | $199 | 141% | — | $17 – $850 |
| 11 | Highland Hospital Rochester, NY fee schedule · outpatient | 7 | $898 | $687 | $245 | 36% | — | $349 – $898 |
| 12 | MVHS, Inc. Utica, NY case rate · both | 2 | $852 | $852 | — | — | — | $852 – $852 |
| 13 | MVHS, Inc. Utica, NY case rate · outpatient | 2 | $852 | $852 | — | — | — | $852 – $852 |
| 14 | MVHS, Inc. Utica, NY fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | MVHS, Inc. Utica, NY other · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 16 | MVHS, Inc. Utica, NY percent of total billed charges · outpatientfrom % of charges | 1 | $288 | $288 | — | — | — | $288 – $288 |
| 17 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 2 | $11.1k | $11.1k | $10.9k | 98% | — | $218 – $22k |
| 18 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 8 | $45 | $99 | $85 | 86% | — | $17 – $330 |
| 19 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA professional · fee schedule · inpatient | 3 | $17 | $22 | $12 | 55% | — | $10 – $46 |
| 20 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA professional · fee schedule · outpatient | 3 | $20 | $27 | $14 | 50% | — | $15 – $46 |
| 21 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 22 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 5 | $95 | $124 | $146 | 117% | — | $17 – $533 |
| 23 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $95 | $94 | $37 | 39% | — | $54 – $162 |
| 24 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $861 | $861 | $553 | 64% | — | $308 – $1.4k |
| 25 | Samaritan Medical Center Watertown, NY professional · fee schedule · both | 1 | $43 | $43 | — | — | — | $43 – $43 |
← Payers reporting CPT 21480 · Snapshot 20261112T124536Z-e251e855