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
PR NJX DX/THER PARAVER FCT JT W/US LUMB/SAC 1 LVL
Princeton, IN
See all hospitals reporting CPT 0216T →Price type
Deaconess Health System Gibson General Hospital’s median price of $91 is 92% below the median hospital's median price ($1.1k), higher than 0% 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, 18 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 | Aetna commercial professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Anthem managed medicaid professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Bcbs Il managed medicaid professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 4 | Caresource managed medicaid professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 5 | Cigna commercial professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 6 | First Health commercial professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 7 | UnitedHealthcare managed medicaid professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 8 | WellCare managed medicaid professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 9 | Aetna medicare advantage professional · fee schedule · both | $90.57 | $90.57 | $90.57 – $90.57 |
| 10 | Anthem medicare advantage professional · fee schedule · both | $90.57 | $90.57 | $90.57 – $90.57 |
| 11 | Bcbs Il medicare advantage professional · fee schedule · both | $90.57 | $90.57 | $90.57 – $90.57 |
| 12 | UnitedHealthcare medicare advantage professional · fee schedule · both | $90.57 | $90.57 | $90.57 – $90.57 |
| 13 | WellCare dual medicare/medicaid professional · fee schedule · both | $90.57 | $90.57 | $90.57 – $90.57 |
| 14 | WellCare medicare advantage professional · fee schedule · both | $90.57 | $90.57 | $90.57 – $90.57 |
| 15 | Caresource commercial professional · fee schedule · both | $104.16 | $104.16 | $90.57 – $117.74 |
| 16 | Ambetter commercial professional · fee schedule · both | $113.21 | $113.21 | $113.21 – $113.21 |
| 17 | Anthem commercial professional · fee schedule · both | $196.08 | $160.91 | $90.57 – $196.08 |
| 18 | UnitedHealthcare commercial professional · fee schedule · both | $347.74 | $347.74 | $347.74 – $347.74 |
Last updated: Feb 11, 2026
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