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HCPCS 0516T

HB INSERTION WRLS CAR STIMULATOR LV PACG ELTRD ONLY

Reported by 4 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

$7.1k

Average

$10.5k

Median

$9.8k

High

$15.4k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$2.5k$13.8k$12.3k$17.3k$5.1k
2University of Iowa Health Care Medical CenterIowa City, IA$2.5k$15.7k$15.4k$17.3k$1.5k
3Manatee Memorial HospitalBradenton, FL—$7.0k$7.1k—$4.5k
4Lakewood RanchLakewood Ranch, FL—$7.1k$7.3k—$4.6k

Look up this code directly

Ask Claude or any MCP client for HCPCS 0516T pricing at a specific hospital — see how to connect.

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