Ultrasound-guided lower spine facet joint injection, one level at Ascension Seton

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

NJX PARAVERT W/US LUMB/SAC

Austin, TX

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How this price compares nationally

Ascension Seton’s median price of $863 is 20% below the median hospital's median price ($1.1k), higher than 18% of the 1,354 hospitals reporting CPT 0216T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 0216T at Ascension Seton

Negotiated rates from the hospital’s own file: 8 payers, 20 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	Humana 2668_humana hmo 20230701 other · outpatient	$158.83	$158.83	$158.83 – $158.83
2	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$295.43	$295.43	$295.43 – $295.43
3	Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient	$393.91	$393.91	$393.91 – $393.91
4	Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient	$393.91	$393.91	$393.91 – $393.91
5	Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$422.63	$422.63	$422.63 – $422.63
6	Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient	$480.07	$480.07	$480.07 – $480.07
7	Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient	$794.28	$794.28	$794.28 – $794.28
8	Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient	$862.78	$862.78	$862.78 – $862.78
9	Aetna 4749_medicare advantage aetna outpatient 20250811 other · outpatient	$862.78	$862.78	$862.78 – $862.78
10	Devoted 4684_medicare advantage devoted health inpatient 20251001 other · inpatient	$862.78	$862.78	$862.78 – $862.78
11	Devoted 4918_medicare advantage devoted health outpatient 20250811 other · outpatient	$862.78	$862.78	$862.78 – $862.78
12	Humana 4661_medicare advantage humana inpatient (aus,hay,nw,sw) 20251001 other · inpatient	$862.78	$862.78	$862.78 – $862.78
13	Humana 4921_medicare advantage humana outpatient (aus,hay,nw,sw.smv) 20250811 other · outpatient	$862.78	$862.78	$862.78 – $862.78
14	Tricare 4696_tricare inpatient 20251001 other · inpatient	$862.78	$862.78	$862.78 – $862.78
15	WellCare 4691_medicare advantage wellcare inpatient 20251001 other · inpatient	$862.78	$862.78	$862.78 – $862.78
16	WellCare 4929_medicare advantage wellcare outpatient 20250811 other · outpatient	$862.78	$862.78	$862.78 – $862.78
17	UnitedHealthcare 4687_medicare advantage united healthcare inpatient (aus,nw,sw,hay) 20251001 other · inpatient	$880.04	$880.04	$880.04 – $880.04
18	UnitedHealthcare 4928_medicare advantage united healthcare outpatient (aus,nw,sw,hay,smv) 20250811 other · outpatient	$880.04	$880.04	$880.04 – $880.04
19	Ambetter 4652_superior ambetter inpatient 20251001 other · inpatient	$1,553	$1,553	$1,553 – $1,553
20	Ambetter 4960_superior ambetter outpatient 20250811 other · outpatient	$1,553	$1,553	$1,553 – $1,553

Last updated: Jan 1, 2026

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