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
Injection jaw joint x-ray
Devils Lake, ND
See all hospitals reporting CPT 21116 →Price type
Altru Hospital Devils Lake’s median price of $26 is 93% below the median hospital's median price ($399), higher than 2% of the 1,293 hospitals reporting CPT 21116. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 7 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $0 | $0 | $0 | 50% | — | $0 – $0 |
| 2 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $0 | $0 | $0 | 50% | — | $0 – $0 |
| 3 | Medica medicaid managed care plan facility · fee schedule · outpatient | $196 | $196 | $169 | 87% | — | $26 – $365 |
| 4 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $196 | $196 | $169 | 87% | — | $26 – $365 |
| 5 | Medica medicare managed care plan facility · fee schedule · outpatient | $251 | $251 | $204 | 81% | — | $47 – $455 |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $669 | $669 | $593 | 89% | — | $77 – $1.3k |
| 7 | Aetna all commercial plans facility · fee schedule · outpatient | $2k | $2k | — | — | — | $2k – $2k |
Last updated: Mar 1, 2026
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