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
PR INJECTION, JAW JOINT X-RAY
Cedar Rapids, IA
See all hospitals reporting CPT 21116 →Price type
St Luke's Methodist Hospital’s median price of $85 is 79% below the median hospital's median price ($399), higher than 14% 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: 6 payers, 13 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 | Aetna medicare advantage fee schedule · both | $40 | $40 | — | — | — | $40 – $40 |
| 2 | Molina medicare advantage fee schedule · both | $41 | $41 | — | — | — | $41 – $41 |
| 3 | Wellmark medicare advantage fee schedule · both | $41 | $41 | — | — | — | $41 – $41 |
| 4 | Humana medicare advantage fee schedule · both | $42 | $42 | — | — | — | $42 – $42 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $42 | $42 | — | — | — | $42 – $42 |
| 6 | Wellmark commercial fee schedule · both | $85 | $85 | — | — | — | $85 – $85 |
| 7 | Wellmark hmo fee schedule · both | $85 | $85 | — | — | — | $85 – $85 |
| 8 | Aetna hmo fee schedule · both | $98 | $98 | — | — | — | $98 – $98 |
| 9 | Wellmark ppo fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 10 | Cigna commercial fee schedule · both | $108 | $108 | — | — | — | $108 – $108 |
| 11 | Aetna ppo fee schedule · both | $117 | $117 | — | — | — | $117 – $117 |
| 12 | UnitedHealthcare hmo fee schedule · both | $147 | $147 | — | — | — | $147 – $147 |
| 13 | UnitedHealthcare ppo fee schedule · both | $147 | $147 | — | — | — | $147 – $147 |
Last updated: Jan 28, 2026
See Jaw joint X-ray dye injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.