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
Irving, TX
See all hospitals reporting CPT 0216T →Price type
Baylor Scott & White Medical Center - Irving’s median price of $933 is 14% below the median hospital's median price ($1.1k), higher than 35% 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, 28 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 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $165.25 | $165.25 | $165.25 – $165.25 |
| 2 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $176.81 | $176.81 | $176.81 – $176.81 |
| 3 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $555.83 | $555.83 | $555.83 – $555.83 |
| 4 | 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 |
| 5 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $740.60 | $740.60 | $740.60 – $740.60 |
| 6 | 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 |
| 7 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $826.23 | $826.23 | $826.23 – $826.23 |
| 8 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $844.08 | $844.08 | $844.08 – $844.08 |
| 9 | 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 |
| 10 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $871.30 | $871.30 | $871.30 – $871.30 |
| 11 | Aetna medicare advantage facility · fee schedule · outpatient | $888.50 | $888.50 | $888.50 – $888.50 |
| 12 | Humana medicare facility · fee schedule · outpatient | $888.50 | $888.50 | $888.50 – $888.50 |
| 13 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $932.92 | $932.92 | $932.92 – $932.92 |
| 14 | Superior Healthplan medicare facility · fee schedule · outpatient | $932.92 | $932.92 | $932.92 – $932.92 |
| 15 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $934.24 | $934.24 | $934.24 – $934.24 |
| 16 | UnitedHealthcare nexus facility · percent of total billed charges · outpatientfrom % of charges | $934.24 | $934.24 | $934.24 – $934.24 |
| 17 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $995.12 | $995.12 | $995.12 – $995.12 |
| 18 | UnitedHealthcare commercial broad facility · percent of total billed charges · outpatientfrom % of charges | $1,038 | $1,038 | $1,038 – $1,038 |
| 19 | Blue Cross Blue Shield city of dallas facility · percent of total billed charges · outpatientfrom % of charges | $1,052 | $1,052 | $1,052 – $1,052 |
| 20 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $1,052 | $1,052 | $1,052 – $1,052 |
| 21 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,052 | $1,052 | $1,052 – $1,052 |
| 22 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,052 | $1,052 | $1,052 – $1,052 |
| 23 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $1,066 | $1,066 | $1,066 – $1,066 |
| 24 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $1,112 | $1,112 | $1,112 – $1,112 |
| 25 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $1,115 | $1,115 | $1,115 – $1,115 |
Last updated: Jun 29, 2026
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