Subdermal rod implant insertion (4 or more)

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR INSERT DRUG DEL IMPLANT, >=4

Payers reporting HCPCS G0516

Payer pricing summary

Low

$121

Average

$906

Median

$474

High

$12.0k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +11 other terms	380	$489	$1.5k	$2.3k	155%	—	$77 – $21.3k
2	UnitedHealthcare fee schedule · outpatient · +15 other terms	367	$450	$1.2k	$1.5k	129%	—	$87 – $11.7k
3	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	270	$766	$988	$1.1k	116%	—	$1 – $10.0k
4	Humana fee schedule · outpatient · +13 other terms	259	$407	$638	$950	149%	—	$87 – $7.0k
5	Cigna case rate · outpatient · +13 other terms	209	$2.7k	$2.7k	$1.2k	46%	—	$389 – $13.6k
6	WellCare fee schedule · outpatient · +8 other terms	124	$426	$609	$682	112%	—	$101 – $4.3k
7	Molina fee schedule · outpatient · +10 other terms	112	$418	$514	$245	48%	—	$77 – $1.0k
8	Anthem case rate · outpatient · +11 other terms	75	$2.3k	$2.8k	$1.4k	48%	—	$255 – $8.8k
9	Devoted fee schedule · outpatient · +5 other terms	67	$426	$397	$112	28%	—	$93 – $499
10	Kaiser fee schedule · outpatient · +6 other terms	64	$745	$958	$903	94%	—	$87 – $4.3k
11	Ambetter facility · fee schedule · outpatient · +7 other terms	51	$761	$742	$173	23%	—	$279 – $962
12	Optum fee schedule · outpatient · +4 other terms	51	$367	$456	$332	73%	—	$93 – $1.6k
13	Bcbs Tx fee schedule · outpatient · +1 other terms	32	$532	$554	$232	42%	—	$284 – $1.5k
14	Oscar fee schedule · outpatient · +7 other terms	31	$719	$737	$1.0k	137%	—	$1 – $4.4k
15	Clover fee schedule · outpatient · +5 other terms	30	$446	$989	$1.3k	132%	—	$397 – $4.4k
16	Caresource facility · fee schedule · outpatient · +9 other terms	26	$687	$668	$167	25%	—	$435 – $889
17	Bcbs La fee schedule · outpatient · +1 other terms	25	$730	$837	$307	37%	—	$363 – $1.6k
18	Medicare fee schedule · outpatient · +4 other terms	24	$93	$762	$1.4k	186%	—	$87 – $4.2k
19	Regence professional · fee schedule · outpatient · +6 other terms	21	$142	$154	$72	47%	—	$94 – $493
20	Aetna Better Health fee schedule · outpatient · +5 other terms	18	$255	$234	$99	42%	—	$98 – $374
21	Highmark fee schedule · outpatient · +5 other terms	18	$376	$362	$264	73%	—	$84 – $1.3k
22	Tricare fee schedule · outpatient · +5 other terms	17	$434	$12.2k	$21.1k	173%	—	$380 – $50k
23	MultiPlan fee schedule · outpatient · +6 other terms	15	$639	$630	$48	8%	—	$375 – $639
24	Ucare case rate · outpatient · +5 other terms	15	$419	$413	$7	2%	—	$399 – $419
25	Medical Mutual facility · fee schedule · outpatient · +2 other terms	14	$425	$537	$344	64%	—	$230 – $1.7k

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