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
HC NJX DX/THER PARAVER FCT JT W/US LUMB/SAC 1 LVL
Austin, TX
See all hospitals reporting CPT 0216T →Price type
Baylor Scott & White Medical Center - Austin’s median price of $889 is 18% below the median hospital's median price ($1.1k), higher than 27% of the 1,354 hospitals reporting CPT 0216T. 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, 23 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 | Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient | $71.00 | $71.00 | $71.00 – $71.00 |
| 2 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient | $75.00 | $75.00 | $75.00 – $75.00 |
| 3 | Blue Cross Blue Shield blue essentials (hmo) facility · fee schedule · outpatient | $81.00 | $81.00 | $81.00 – $81.00 |
| 4 | Blue Cross Blue Shield bluechoice (ppo) facility · fee schedule · outpatient | $85.00 | $85.00 | $85.00 – $85.00 |
| 5 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $285.43 | $285.43 | $285.43 – $285.43 |
| 6 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $305.41 | $305.41 | $305.41 – $305.41 |
| 7 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $546.51 | $546.51 | $546.51 – $546.51 |
| 8 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $642.96 | $642.96 | $642.96 – $642.96 |
| 9 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $740.60 | $740.60 | $740.60 – $740.60 |
| 10 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $826.23 | $826.23 | $826.23 – $826.23 |
| 11 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $844.08 | $844.08 | $844.08 – $844.08 |
| 12 | Humana medicare facility · fee schedule · outpatient | $888.50 | $888.50 | $888.50 – $888.50 |
| 13 | Superior Healthplan medicare hmo/medicare ppo facility · fee schedule · outpatient | $888.50 | $888.50 | $888.50 – $888.50 |
| 14 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $995.12 | $995.12 | $995.12 – $995.12 |
| 15 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $1,052 | $1,052 | $1,052 – $1,052 |
| 16 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,052 | $1,052 | $1,052 – $1,052 |
| 17 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,052 | $1,052 | $1,052 – $1,052 |
| 18 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $1,066 | $1,066 | $1,066 – $1,066 |
| 19 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $1,115 | $1,115 | $1,115 – $1,115 |
| 20 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $1,466 | $1,466 | $1,466 – $1,466 |
| 21 | Humana commercial hmo facility · case rate · outpatient | $2,970 | $2,970 | $2,970 – $2,970 |
| 22 | Cigna local plus facility · case rate · outpatient | $2,975 | $2,975 | $2,975 – $2,975 |
| 23 | Cigna hmo/ppo facility · case rate · outpatient | $3,500 | $3,500 | $3,500 – $3,500 |
Last updated: Jun 13, 2026
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