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  4. /0916T
  5. /Case rate
HCPCS 0916T

HB INSERTION PERM CCM-D SYSTEM PULSE GENERATOR ONLY

Reported by 5 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

$4.0k

Average

$23.3k

Median

$16.4k

High

$68.2k

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$19.5k$16.4k$8.4k—$3.5k$24.7k
2University of Iowa Health Care Medical CenterIowa City, IA$20.9k$21.5k$2.4k—$5.8k$24.7k
3Saint Joseph Medical Center - JolietJoliet, IL$6.2k$6.2k——$5.7k$78.6k
4St. Mary's Hospital - KankakeeKankakee, IL$4.0k$4.0k$2.2k—$1.8k$64.4k
5University Of Miami Hosp & ClinicsMiami, FL$68.2k$68.2k$4.1k—$22.7k$76.1k

Look up this code directly

Ask Claude or any MCP client for HCPCS 0916T pricing at a specific hospital — see how to connect.

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