TMJ arthrogram dental imaging with 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

Dental tmj arthrogram incl i

Highmark pricing summary

Low

$152

Average

$256

Median

$252

High

$390

Highmark rate distribution

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29 hospital rates

#		Plans
1	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient	11	$146	$146	—	—	—	$146 – $146
2	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient	19	$229	$262	$129	49%	—	$146 – $515
3	Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient	1	$258	$258	—	—	—	$258 – $258
4	Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient	3	$394	$391	$119	31%	—	$228 – $545
5	CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient	11	$146	$146	—	—	—	$146 – $146
6	CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient	19	$229	$257	$121	47%	—	$146 – $488
7	Clarion Hospital Clarion, PA facility · case rate · outpatient	2	$309	$342	$122	35%	—	$230 – $522
8	ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient	3	$107	$152	$63	42%	—	$107 – $241
9	GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient	11	$146	$146	—	—	—	$146 – $146
10	GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient	19	$215	$255	$125	49%	—	$146 – $480
11	Highland Hospital Rochester, NY fee schedule · outpatient	1	$298	$298	—	—	—	$298 – $298
12	JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · inpatient	11	$146	$146	—	—	—	$146 – $146
13	JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient	19	$215	$224	$81	36%	—	$109 – $382
14	Lankenau Medical Center Wynnewood, PA facility · fee schedule · outpatient	1	$274	$274	—	—	—	$274 – $274
15	Paoli Hospital Paoli, PA facility · fee schedule · outpatient	1	$272	$272	—	—	—	$272 – $272
16	Riddle Memorial Hospital Media, PA facility · fee schedule · outpatient	1	$272	$272	—	—	—	$272 – $272
17	SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · inpatient	11	$146	$146	—	—	—	$146 – $146
18	SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · outpatient	20	$242	$236	$87	37%	—	$114 – $384
19	Strong Memorial Hospital Rochester, NY fee schedule · outpatient	1	$298	$298	—	—	—	$298 – $298
20	The Bryn Mawr Hospital Bryn Mawr, PA facility · fee schedule · outpatient	1	$274	$274	—	—	—	$274 – $274
21	WEST PENN ALLEGHENY HEALTH SYSTEM INC WEXFORD, PA fee schedule · inpatient	11	$146	$146	—	—	—	$146 – $146
22	WEST PENN ALLEGHENY HEALTH SYSTEM INC WEXFORD, PA fee schedule · outpatient	19	$224	$246	$109	44%	—	$133 – $463
23	WEST PENN ALLEGHENY HEALTH SYSTEM INC PITTSBURGH, PA fee schedule · inpatient	11	$146	$146	—	—	—	$146 – $146
24	WEST PENN ALLEGHENY HEALTH SYSTEM INC PITTSBURGH, PA fee schedule · outpatient	19	$229	$282	$157	56%	—	$146 – $590
25	WEST PENN ALLEGHENY HEALTH SYSTEM INC MONROEVILLE, PA fee schedule · inpatient	11	$146	$146	—	—	—	$146 – $146

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HCPCS D0320