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
TM DISLOC TRTMT INIT/SUB
Pittsburgh, PA
See all hospitals reporting CPT 21480 →Price type
UPMC Presbyterian’s median price of $3.7k is 1074% above the median hospital's median price ($315), higher than 98% 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: 8 payers, 22 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 chip/medicaid facility · fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 2 | Highmark medicaid facility · fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 3 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 4 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $247 | $247 | — | — | — | $247 – $247 |
| 5 | Cigna medicare transplant facility · fee schedule · outpatient | $247 | $247 | — | — | — | $247 – $247 |
| 6 | Highmark medicare facility · fee schedule · outpatient | $247 | $247 | — | — | — | $247 – $247 |
| 7 | UnitedHealthcare medicare facility · fee schedule · outpatient | $247 | $247 | — | — | — | $247 – $247 |
| 8 | Aetna medicare facility · fee schedule · outpatient | $252 | $252 | — | — | — | $252 – $252 |
| 9 | MultiPlan worker's compensation facility · fee schedule · outpatient | $268 | $268 | — | — | — | $268 – $268 |
| 10 | Highmark medicare advantage facility · fee schedule · outpatient | $550 | $550 | — | — | — | $550 – $550 |
| 11 | UnitedHealthcare pa chip/pa medicaid facility · fee schedule · outpatient | $683 | $683 | — | — | — | $683 – $683 |
| 12 | Highmark managed care - social mission facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | Highmark managed care facility · fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 14 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 15 | Highmark upmc emergent facility · fee schedule · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 16 | Highmark commercial - indemnity facility · fee schedule · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 17 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 18 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 19 | MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 20 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 21 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 22 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
Last updated: Mar 6, 2026
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