Jaw dislocation reset at Mercy Perry

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

Cl Tx Tmj Disc Init/Subs Pf

Perryville, MO

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Pricing by billing methodology

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How this price compares nationally

Mercy Perry’s median price of $324 is 3% above the median hospital's median price ($315), higher than 52% of the 2,112 hospitals reporting CPT 21480. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 21480 at Mercy Perry

Negotiated rates from the hospital’s own file: 16 payers, 29 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	Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges	$74	$74	—	—	—	$74 – $74
2	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
3	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
4	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
5	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
6	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
7	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
8	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$153	$153	—	—	—	$153 – $153
9	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$156	$156	—	—	—	$156 – $156
10	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$156	$156	—	—	—	$156 – $156
11	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$179	$179	—	—	—	$179 – $179
12	Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
13	UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
14	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$207	$207	—	—	—	$207 – $207
15	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$234	$234	—	—	—	$234 – $234
16	Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges	$235	$235	—	—	—	$235 – $235
17	UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges	$282	$282	—	—	—	$282 – $282
18	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient	$286	$286	—	—	—	$286 – $286
19	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$306	$306	—	—	—	$306 – $306
20	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$306	$306	—	—	—	$306 – $306
21	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$324	$324	—	—	—	$324 – $324
22	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$324	$324	—	—	—	$324 – $324
23	Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$326	$326	—	—	—	$326 – $326
24	UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$326	$326	—	—	—	$326 – $326
25	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$346	$346	—	—	—	$346 – $346

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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