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  4. /0816T
HCPCS 0816T

HB OPEN INSERTION REPLCMNT INTEGRATED NEUROSTIM SYS PTN SUBQ

Reported by 255 hospitals in the network.

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.

National pricing summary

Low

$304

Average

$23.1k

Median

$23.2k

High

$55.7k

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.
1University of Iowa Health Care Medical Center DowntownIowa City, IA$5.8k$7.5k$5.7k—$1.8k$21.2k
2University of Iowa Health Care Medical CenterIowa City, IA$5.8k$7.8k$5.8k—$1.8k$21.2k
3The Mount Sinai HospitalNew York, NY$24.3k$19.6k$9.8k—$3.1k$33.8k
4Gundersen Luthern Medical Center IncLa Crosse, WI$20.6k$20.7k$382—$20.6k$21.9k
5St. Vincent's Medical Center, Inc. (FL)Jacksonville, FL$304$304——$304$304
6St Vincents Health System IncJohns, FL$304$304——$304$304
7St. Luke's-St. Vincent's Healthcare, Inc.Jacksonville, FL$304$304——$304$304
8St. Vincent's Medical Center-Clay County, Inc.Middleburg, FL$304$304——$304$304
9Columbia St. Mary's Hospital Ozaukee, Inc.Mequon, WI$497$497——$497$497
10Columbia St. Mary's Hospital Milwaukee, Inc.Milwaukee, WI$497$497——$497$497
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