Open treatment of temporomandibular dislocation Facility (CPT 21490)
21490 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
153 of 4255 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Posted cash | Posted gross | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $2,993.40 | 0.0× |
| Torrance Memorial Medical Center range across 13 matching MRF lines |
Torrance, CA | $350.14–$31,644.62 | $427–$38,591 | $4,264.23 | varies |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $442 | $1,474 | $3,330.57 | 0.1× |
| Unity Health - White County Medical Center | Searcy, AR | $467 | $1,868 | $3,018.80 | 0.2× |
| Unity Health - Jacksonville | Jacksonville, AR | $467 | $1,868 | $3,115.14 | 0.1× |
| Unity Health - Newport | Newport, AR | $467 | $1,868 | $3,018.80 | 0.2× |
| Westfield Memorial Hospital, Inc | Westfield, NY | $494.12 | $2,246 | $4,138.63 | 0.1× |
| O'connor Hospital | Delhi, NY | $540 | $2,000 | $4,138.63 | 0.1× |
| Little Falls Hospital | Little Falls, NY | $540 | $2,000 | $4,138.63 | 0.1× |
| Cobleskill Regional Hospital | Cobleskill, NY | $540 | $2,000 | $4,138.63 | 0.1× |
| University Medical Center of El Paso | El Paso, TX | $645.41 | $3,227.05 | $3,330.57 | 0.2× |
| Cedar-sinai Marina Del Rey Hospital range across 13 matching MRF lines |
Marina Del Rey, CA | $655.63–$18,447.52 | $1,008.66–$28,380.80 | $4,264.23 | varies |
| East Carroll Parish Hospital | Lake Providence, LA | $697.50 | $930 | $3,018.60 | 0.2× |
| Concord Hospital | Concord, NH | $815.70 | $2,719 | $3,540.10 | 0.2× |
| Concord Hospital – Laconia | Laconia, NH | $815.70 | $2,719 | $3,540.10 | 0.2× |
| Concord Hospital – Franklin | Franklin, NH | $815.70 | $2,719 | $3,540.10 | 0.2× |
| Cedars-sinai Medical Center range across 9 matching MRF lines |
Los Angeles, CA | $936.62–$24,184.55 | $1,440.95–$37,207 | $4,264.23 | varies |
| Bayside Community Hospital | Anahuac, TX | $982 | $982 | $3,330.57 | 0.3× |
| Erlanger Bledsoe Hospital | Pikeville, TN | $1,096.76 | $3,795 | $3,008.03 | 0.4× |
| Artesia General Hospital | Artesia, NM | $1,131.60 | $1,886 | $3,282.20 | 0.3× |
| Huntington Hospital range across 12 matching MRF lines |
Pasadena, CA | $1,147.80–$15,116.08 | $1,765.84–$23,255.50 | $4,264.23 | varies |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $1,152.75 | $3,975 | $3,165.95 | 0.4× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $1,152.75 | $3,975 | $3,147.45 | 0.4× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $1,152.75 | $3,975 | $3,180.78 | 0.4× |
| MetroHealth System | Cleveland, OH | $1,214.59 | $3,470.26 | $3,136.68 | 0.4× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $1,302.30 | $1,447 | $3,497.42 | 0.4× |
| John H Stroger Jr Hospital | Chicago, IL | $1,365 | $1,950 | $3,552.91 | 0.4× |
| Provident Hospital of Chicago | Chicago, IL | $1,365 | $1,950 | $3,552.91 | 0.4× |
| Altru Hospital range across 3 matching MRF lines |
Grand Forks, ND | $1,405.44–$6,308.01 | $2,304–$10,341 | $3,387.27 | varies |
| Washington Regional Medical Center | Fayetteville, AR | $1,553.25 | $2,071 | $3,125.71 | 0.5× |
| DeSoto Regional Health System | Mansfield, LA | $1,648.50 | $2,355 | $3,002.14 | 0.5× |
| Sidney Health Center | Sidney, MT | $1,670.61 | $2,698 | $3,387.27 | 0.5× |
| Hurley Medical Center | Flint, MI | $1,812 | $1,812 | $3,303.54 | 0.5× |
| Nebraska Medical Center | Omaha, NE | $1,842.75 | $2,835 | $3,442.75 | 0.5× |
| Bellevue Medical Center | Bellevue, NE | $1,842.75 | $2,835 | $3,442.75 | 0.5× |
| Waverly Health Center | Waverly, IA | $1,880.32 | $3,616 | $3,187.29 | 0.6× |
| Titus Regional Medical Center | Mount Pleasant, TX | $1,903.80 | $3,173 | $3,330.57 | 0.6× |
| Lackey Memorial Hospital | Forest, MS | $1,944 | $1,944 | $2,993.40 | 0.6× |
| Erlanger Baroness Hospital | Chattanooga, TN | $2,003.76 | $3,795 | $3,059.04 | 0.7× |
| Jefferson Regional | Pine Bluff, AR | $2,083 | $2,083 | $3,085.06 | 0.7× |
| Monroe Regional Hospital range across 2 matching MRF lines |
Aberdeen, MS | $2,106.80–$10,918.10 | $2,106.80–$10,918.10 | $2,858.45 | varies |
| Mt Sinai Hospital Medical Center | Chicago, IL | $2,136.27 | $3,051.81 | $3,552.91 | 0.6× |
| Holy Cross Hospital | Chicago, IL | $2,136.27 | $3,051.81 | $3,552.91 | 0.6× |
| Vanderbilt University Hospital | Nashville, TN | $2,146.50 | $3,975 | $3,254.56 | 0.7× |
| Montefiore Medical Center | Bronx, NY | $2,261.92 | $3,458.59 | $4,138.63 | 0.5× |
| Coteau Des Prairies Health Care System | Sisseton, SD | $2,379 | $2,379 | $3,387.27 | 0.7× |
| St. John's Medical Center range across 2 matching MRF lines |
Jackson, WY | $2,413–$4,826 | $2,413–$4,826 | $3,387.27 | varies |
| CAMC Greenbrier Valley Medical Center | Ronceverte, WV | $2,428 | $2,428 | $3,180.38 | 0.8× |
| Charleston Area Medical Center | Charleston, WV | $2,513 | $2,513 | $3,180.38 | 0.8× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| Baylor Scott and White Medical Center Irving | Irving, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| Baylor Scott and White All Saints Medical Center | Fort Worth, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | $2,635.12 | $4,391.86 | $3,336.05 | 0.8× |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| Baylor Scott & White Heart and Vascular Hospital | Dallas, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| Baylor Regional Medical Center at Plano | Plano, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| The Heart Hospital Baylor Denton | Denton, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| Baylor Scott and White Medical Center Mckinney | Mc Kinney, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| Baylor Scott and White Medical Center Frisco at Pg | Frisco, TX | $2,635.12 | $4,391.86 | $3,330.57 | 0.8× |
| Erlanger Western Carolina Hospital | Murphy, NC | $2,656.50 | $3,795 | $3,168.99 | 0.8× |
| Park Place Surgical Hospital | Lafayette, LA | $2,944.22 | $7,317.19 | $3,002.14 | 1.0× |
| Texas Scottish Rite Hospital For Children | Dallas, TX | $3,125 | $3,125 | $3,330.57 | 0.9× |
| Holyoke Medical Center | Holyoke, MA | $3,214 | $3,214 | $3,973.40 | 0.8× |
| Lakeside Medical Center | Belle Glade, FL | $3,255.33 | — | $3,462.26 | 0.9× |
| St. Joseph's Medical Center | Yonkers, NY | $3,387.27 | — | $4,138.63 | 0.8× |
| Lima Memorial Health System | Lima, OH | $3,433.50 | $3,815 | $3,165.74 | 1.1× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $3,561.05 | — | $3,010.88 | 1.2× |
| Memorial Hermann Houston Physicians Hospital | Webster, TX | $3,573.15 | $12,367 | $3,330.57 | 1.1× |
| Summit Medical Center, LLC | Edmond, OK | $3,726.86 | — | $3,188.71 | 1.2× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $3,837.72 | — | $4,138.63 | 0.9× |
| Jacobi Medical Center | Bronx, NY | $3,837.72 | — | $4,138.63 | 0.9× |
| Elmhurst Hospital Center | Elmhurst, NY | $3,837.72 | — | $4,138.63 | 0.9× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $3,837.72 | — | $4,138.63 | 0.9× |
| Metropolitan Hospital Center | New York, NY | $3,837.72 | — | $4,138.63 | 0.9× |
| Kings County Hospital Center | Brooklyn, NY | $3,837.72 | — | $4,138.63 | 0.9× |
| Bellevue Hospital Center | New York, NY | $3,837.72 | — | $4,138.63 | 0.9× |
| Queens Hospital Center | Jamaica, NY | $3,837.72 | — | $4,138.63 | 0.9× |
| Harlem Hospital Center | New York, NY | $3,837.72 | — | $4,138.63 | 0.9× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $3,837.72 | — | $4,138.63 | 0.9× |
| Griffin Hospital | Derby, CT | $3,877.03 | — | $3,974.62 | 1.0× |
| Highland Hospital | Rochester, NY | $3,935.40 | — | $4,138.63 | 1.0× |
| Strong Memorial Hospital | Rochester, NY | $3,935.40 | — | $4,138.63 | 1.0× |
| Valleywise Health Medical Center | Phoenix, AZ | $4,068.55 | — | $3,537.87 | 1.1× |
| Nyack Hospital | Nyack, NY | $4,138.63 | — | $4,138.63 | 1.0× |
| Montefiore St. Luke's Cornwall | Newburgh, NY | $4,138.63 | — | $4,138.63 | 1.0× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $4,145.32 | — | $3,180.78 | 1.3× |
| Erie County Medical Center | Buffalo, NY | $4,265 | — | $4,138.63 | 1.0× |
| Mercyhealth Fhn Hospital | Freeport, IL | $4,325.60 | $5,407 | $3,552.91 | 1.2× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $4,558.89 | — | $3,303.54 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $4,558.89 | — | $3,303.54 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $4,558.89 | — | $3,303.54 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $4,558.89 | — | $3,303.54 | 1.4× |
| Cozad Community Hospital | Cozad, NE | $4,622 | $5,135 | $3,442.75 | 1.3× |
| Summit Surgical, LLC | Hutchinson, KS | $4,696.04 | $5,870.05 | $3,049.08 | 1.5× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $4,928.13 | — | $3,387.27 | 1.5× |
| McKenzie County Healthcare Systems Inc | Watford City, ND | $5,153.85 | $7,929 | $3,387.27 | 1.5× |
| Northwest Hills Surgical Hospital | Austin, TX | $5,218.20 | $14,495 | $3,330.57 | 1.6× |
| Omega Hospital range across 2 matching MRF lines |
Metairie, LA | $5,266.45–$22,351.37 | $9,028.20–$38,316.63 | $3,112.09 | varies |
| Treasure Valley Hospital | Boise, ID | $5,341.42 | — | $3,349.87 | 1.6× |
| Duncan Regional Hospital, Inc | Duncan, OK | $6,611.96 | — | $3,188.71 | 2.1× |
| Alaska Native Medical Center | Anchorage, AK | $6,693 | $6,693 | $3,679.52 | 1.8× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Scott & White Hospital-round Rock | Round Rock, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $6,759.31 | $11,265.51 | $3,330.57 | 2.0× |
| Community Hospital of Stokes | Danbury, NC | $7,424.31 | $10,918.10 | $3,215.54 | 2.3× |
| St. John's Riverside Hospital | Yonkers, NY | $7,835.30 | $9,218 | $4,138.63 | 1.9× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $8,181.60 | $14,610 | $4,813.99 | 1.7× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $8,181.60 | $14,610 | $4,792.45 | 1.7× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $8,181.60 | $14,610 | $4,707.49 | 1.7× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $8,181.60 | $14,610 | $4,870.89 | 1.7× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $8,181.60 | $14,610 | $4,849.96 | 1.7× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $8,181.60 | $14,610 | $4,792.45 | 1.7× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $8,181.60 | $14,610 | $4,707.49 | 1.7× |
| Kaiser Foundation Hospital | San Rafael, CA | $8,181.60 | $14,610 | $4,702.61 | 1.7× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $8,181.60 | $14,610 | $4,792.45 | 1.7× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $8,181.60 | $14,610 | $4,813.99 | 1.7× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $8,181.60 | $14,610 | $4,876.58 | 1.7× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $8,181.60 | $14,610 | $4,707.49 | 1.7× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $8,181.60 | $14,610 | $4,559.13 | 1.8× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $8,181.60 | $14,610 | $4,264.23 | 1.9× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $8,181.60 | $14,610 | $4,645.91 | 1.8× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $8,181.60 | $14,610 | $4,681.68 | 1.7× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $8,181.60 | $14,610 | $4,870.89 | 1.7× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $8,181.60 | $14,610 | $4,302.85 | 1.9× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $8,181.60 | $14,610 | $4,793.05 | 1.7× |
| St. Luke's Magic Valley Medical Center | Twin Falls, ID | $8,795 | $8,795 | $3,456.17 | 2.5× |
| St. Luke's Boise Medical Center | Boise, ID | $8,795 | $8,795 | $3,579.94 | 2.5× |
| St. Luke's Nampa Medical Center | Nampa, ID | $8,795 | $8,795 | $3,349.87 | 2.6× |
| St. Luke's Jerome Medical Center | Jerome, ID | $8,795 | $8,795 | $3,289.92 | 2.7× |
| St. Luke's Elmore Medical Center | Mountain Home, ID | $8,795 | $8,795 | $3,275.49 | 2.7× |
| St. Luke's McCall Medical Center | McCall, ID | $8,795 | $8,795 | $3,275.49 | 2.7× |
| St. Luke's Wood River Medical Center | Ketchum, ID | $8,795 | $8,795 | $3,275.49 | 2.7× |
| Hilton Head Medical Center | Hilton Head Island, SC | $8,912.72 | — | $3,083.64 | 2.9× |
| East Cooper Medical Center | Mount Pleasant, SC | $8,912.72 | — | $3,083.64 | 2.9× |
| Coastal Carolina Medical Center | Hardeeville, SC | $8,912.72 | — | $3,083.64 | 2.9× |
| Northwest Surgical Hospital | Oklahoma City, OK | $9,566.13 | — | $3,188.71 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $9,566.13 | — | $3,188.71 | 3.0× |
| Kahuku Medical Center | Kahuku, HI | $11,829.35 | $18,199 | $3,916.70 | 3.0× |
| Brushy Creek Family Hospital LLC | Round Rock, TX | $16,929 | $18,810 | $3,330.57 | 5.1× |
| Bandera Family Hospital | San Antonio, TX | $16,929 | $18,810 | $3,330.57 | 5.1× |
| RISE Community Hospital | Prairieville, LA | $16,929 | $18,810 | $3,002.14 | 5.6× |
| Graham Hospital Association | Canton, IL | — | $1,814.52 | $3,552.91 | — |
| Altus Lumberton Hospital | Lumberton, TX | — | $7,200 | $3,330.57 | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.