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
HC CL TX TMJ DISL INITIAL
Monroe, LA
See all hospitals reporting CPT 21480 →Price type
Brfhh Monroe, Llc’s median price of $359 is 14% above the median hospital's median price ($316), higher than 56% of the 2,086 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: 10 payers, 14 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 | Humana all payor other · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 2 | Aetna all payor fee schedule · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 3 | Humana all payor fee schedule · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 4 | Optum all payor fee schedule · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 5 | UnitedHealthcare all payor fee schedule · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 6 | Aetna Better Health all payor case rate · outpatient | $359 | $359 | — | — | — | $359 – $359 |
| 7 | Amerihealth Caritas all payor case rate · outpatient | $359 | $359 | — | — | — | $359 – $359 |
| 8 | Humana all payor case rate · outpatient | $359 | $359 | — | — | — | $359 – $359 |
| 9 | UnitedHealthcare all payor case rate · outpatient | $416 | $429 | $63 | 15% | — | $359 – $513 |
| 10 | Bcbs La all payor fee schedule · outpatient | $585 | $511 | $147 | 29% | — | $218 – $585 |
| 11 | Cigna all payor case rate · outpatient | $867 | $867 | — | — | — | $867 – $867 |
| 12 | MultiPlan all payor other · outpatient | $900 | $900 | — | — | — | $900 – $900 |
| 13 | Aetna all payor case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | First Health all payor other · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Apr 1, 2026
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