☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
  1. Home
  2. /Codes
  3. /CPT
  4. /0216T
  5. /Case rate
CPT 0216T

NJX PARAVERT W/US LUMB/SAC

Reported by 298 hospitals in the network under the case rate methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$100

Average

$2.4k

Median

$2.4k

High

$10.7k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1The Finley HospitalDubuque, IA$895$897$39—$869$2.1k
2Northwest Iowa Hospital CorporationSioux City, IA$898$898$13—$885$2.4k
3Medical Ctiy ArgyleArgyle, TX$2.5k$2.4k$718—$533$3.6k
4Medical City AllianceSAGINAW, TX$2.3k$2.2k$567—$591$3.3k
5St Luke's Methodist HospitalCedar Rapids, IA$854$854$12—$842$2.2k
6Trinity Medical CenterRock Island, IL$947$997$157—$872$2.5k
7Trinity Medical CenterBettendorf, IA$862$916$163—$837$2.3k
8Unity HealthcareMuscatine, IA$850$904$155—$821$2.7k
9Trinity Regional Medical CenterFort Dodge, IA$850$850$12—$837$2.3k
10Meriter Hospital, IncMadison, WI$860$895$770—$175$3.9k
Page 1 of 30

Look up this code directly

Ask Claude or any MCP client for CPT 0216T pricing at a specific hospital — see how to connect.

☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC