☀️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. /HCPCS
  4. /0996T
HCPCS 0996T

Ins&sclr fix caps bag prosth

Reported by 135 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

$1.5k

Average

$3.4k

Median

$3.2k

High

$11.1k

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 Mount Sinai HospitalNew York, NY$2.9k$2.9k——$2.9k$2.9k
2Gundersen Luthern Medical Center IncLa Crosse, WI$2.4k$2.4k——$2.4k$2.4k
3Crawford Long HospitalAtlanta, GA$2.4k$2.8k$897—$2.3k$5.0k
4Emory UniversityAtlanta, GA$2.4k$2.7k$885—$2.3k$4.9k
5Saint Josephs Hospital Of Atlanta IncAtlanta, GA$2.4k$2.8k$897—$2.3k$5.0k
6Wellstar Mcg Health, Affiliated With Med ColAugusta, GA$2.8k$3.3k$1.5k—$2.0k$7.4k
7Wellstar Douglas HospitalDouglasville, GA$4.1k$4.3k$2.2k—$2.3k$8.8k
8Wellstar Paulding HospitalHiram, GA$4.1k$4.3k$2.1k—$2.3k$8.8k
9Billings ClinicBillings, MT$4.6k$4.2k$1.4k—$2.0k$5.7k
10Swedish Health ServicesSeattle, WA$4.1k$5.2k$2.8k—$2.7k$11.3k
Page 1 of 14

Look up this code directly

Ask Claude or any MCP client for HCPCS 0996T pricing at a specific hospital — see how to connect.

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

© 2026 Medprice AI LLC