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
Closed Treatment of Temporomandibular Dislocation; Initial or Subsequent (Pro CAH)
Wadena, MN
See all hospitals reporting CPT 21480 →Price type
Astera Health’s median price of $135 is 57% below the median hospital's median price ($315), higher than 11% of the 2,112 hospitals reporting CPT 21480. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 34 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 | Ucare ucare pmap [300063] fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 2 | Medica medica mncare [100751] fee schedule · inpatient | $22 | $22 | — | — | — | $22 – $22 |
| 3 | Medica medica mncare [100751] fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 4 | Medica medica pmap [100345] fee schedule · inpatient | $22 | $22 | — | — | — | $22 – $22 |
| 5 | Medica medica pmap [100345] fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 6 | Ucare ucare pmap [300063] fee schedule · inpatient | $24 | $24 | — | — | — | $24 – $24 |
| 7 | UnitedHealthcare united healthcare [100453] fee schedule · inpatient | $40 | $40 | — | — | — | $40 – $40 |
| 8 | UnitedHealthcare united healthcare [100453] fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 9 | Medica medica [100341] fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 10 | Blue Cross Blue Shield bcbs federal employees [400004] fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 11 | Blue Cross Blue Shield bcbs high value network fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 12 | Blue Cross Blue Shield blue plus [400058] fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 13 | Sanford Health Plan sanford health plan [100578] fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 14 | Blue Cross Blue Shield mr-bcbs mn [400069] fee schedule · inpatient | $135 | $135 | — | — | — | $135 – $135 |
| 15 | Blue Cross Blue Shield mr-bcbs mn [400069] fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 16 | Medica mr-medica advantage solutions [100895] fee schedule · inpatient | $135 | $135 | — | — | — | $135 – $135 |
| 17 | Medica mr-medica advantage solutions [100895] fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 18 | Medica mr-medica dual solutions msho [100344] fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 19 | Ucare mr-ucare [300064] fee schedule · inpatient | $135 | $135 | — | — | — | $135 – $135 |
| 20 | Ucare mr-ucare [300064] fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 21 | Ucare mr-ucare msho [300061] fee schedule · inpatient | $135 | $135 | — | — | — | $135 – $135 |
| 22 | Ucare mr-ucare msho [300061] fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 23 | Sanford Health Plan sanford health plan [100578] fee schedule · inpatient | $240 | $240 | — | — | — | $240 – $240 |
| 24 | Medica mr-medica dual solutions msho [100344] fee schedule · inpatient | $243 | $243 | — | — | — | $243 – $243 |
| 25 | Ucare ucare commercial [100748] percent of total billed charges · inpatientfrom % of charges | $313 | $313 | — | — | — | $313 – $313 |
Last updated: Feb 20, 2026
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