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.
Original text from hospital filings
MR SAFETY DETERMINATION PHYSICIAN/OTH QHP
Chicago, IL
See all hospitals reporting CPT 76016 →Price type
Advocate Trinity Hospital’s median price of $387 is 225% above the median hospital's median price ($119), higher than 94% of the 1,645 hospitals reporting CPT 76016. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 13 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Ambetter medicare advantage case rate · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 2 | Molina medicare advantage case rate · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 3 | Oscar medicare advantage case rate · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 4 | Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges | $363 | $363 | $14 | 4% | — | $348 – $377 |
| 5 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $367 | $367 | — | — | — | $367 – $367 |
| 6 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $373 | $373 | — | — | — | $373 – $373 |
| 7 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $397 | $397 | — | — | — | $397 – $397 |
| 8 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $416 | $416 | — | — | — | $416 – $416 |
| 9 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $416 | $416 | — | — | — | $416 – $416 |
| 10 | Cigna commercial case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 11 | UnitedHealthcare commercial case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 12 | UnitedHealthcare hmo case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 13 | Aetna commercial case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
Last updated: Nov 4, 2025
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