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
Grapevine, TX
See all hospitals reporting CPT 0216T →Price type
Baylor Scott & White Medical Center - Grapevine’s median price of $934 is 14% below the median hospital's median price ($1.1k), higher than 37% 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: 9 payers, 29 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $225.34 | $225.34 | $225.34 – $225.34 |
| 2 | Aetna medicaid facility · percent of total billed charges · outpatientfrom % of charges | $229.84 | $229.84 | $229.84 – $229.84 |
| 3 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $241.11 | $241.11 | $241.11 – $241.11 |
| 4 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $555.83 | $555.83 | $555.83 – $555.83 |
| 5 | 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 | $740.60 | $740.60 | $740.60 – $740.60 |
| 6 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $740.60 | $740.60 | $740.60 – $740.60 |
| 7 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $781.16 | $781.16 | $781.16 – $781.16 |
| 8 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $826.23 | $826.23 | $826.23 – $826.23 |
| 9 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $845.47 | $845.47 | $845.47 – $845.47 |
| 10 | 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 | $871.30 | $871.30 | $871.30 – $871.30 |
| 11 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $871.30 | $871.30 | $871.30 – $871.30 |
| 12 | Aetna medicare advantage facility · fee schedule · outpatient | $889.97 | $889.97 | $889.97 – $889.97 |
| 13 | Humana medicare facility · fee schedule · outpatient | $889.97 | $889.97 | $889.97 – $889.97 |
| 14 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $934.24 | $934.24 | $934.24 – $934.24 |
| 15 | UnitedHealthcare nexus facility · percent of total billed charges · outpatientfrom % of charges | $934.24 | $934.24 | $934.24 – $934.24 |
| 16 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $934.47 | $934.47 | $934.47 – $934.47 |
| 17 | Superior Healthplan medicare facility · fee schedule · outpatient | $934.47 | $934.47 | $934.47 – $934.47 |
| 18 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $996.77 | $996.77 | $996.77 – $996.77 |
| 19 | UnitedHealthcare commercial broad facility · percent of total billed charges · outpatientfrom % of charges | $1,038 | $1,038 | $1,038 – $1,038 |
| 20 | Blue Cross Blue Shield city of dallas facility · percent of total billed charges · outpatientfrom % of charges | $1,052 | $1,052 | $1,052 – $1,052 |
| 21 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $1,052 | $1,052 | $1,052 – $1,052 |
| 22 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,052 | $1,052 | $1,052 – $1,052 |
| 23 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,052 | $1,052 | $1,052 – $1,052 |
| 24 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $1,068 | $1,068 | $1,068 – $1,068 |
| 25 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $1,112 | $1,112 | $1,112 – $1,112 |
Last updated: Jun 29, 2026
See Ultrasound-guided lower spine facet joint injection, one level pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.