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
Mount Vernon, IL
See all hospitals reporting CPT 0216T →Price type
Deaconess Illinois Crossroads Inc’s median price of $341 is 68% below the median hospital's median price ($1.1k), higher than 4% 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, 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.
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| # | ||||
|---|---|---|---|---|
| 1 | Aetna Better Health managed medicaid professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Bcbs Il blue choice ppo professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Bcbs Il hmo/ppo professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 4 | Bcbs Il managed medicaid professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 5 | Molina managed medicaid professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 6 | WellCare managed medicaid professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 7 | Aetna medicare advantage professional · fee schedule · both | $175.04 | $175.04 | $175.04 – $175.04 |
| 8 | Aetna Better Health medicare mmp professional · fee schedule · both | $175.04 | $175.04 | $175.04 – $175.04 |
| 9 | Bcbs Il medicare advantage professional · fee schedule · both | $175.04 | $175.04 | $175.04 – $175.04 |
| 10 | Humana dual medicare/medicaid professional · fee schedule · both | $175.04 | $175.04 | $175.04 – $175.04 |
| 11 | Humana medicare advantage professional · fee schedule · both | $175.04 | $175.04 | $175.04 – $175.04 |
| 12 | Molina dual medicare/medicaid professional · fee schedule · both | $175.04 | $175.04 | $175.04 – $175.04 |
| 13 | UnitedHealthcare medicare advantage professional · fee schedule · both | $175.04 | $175.04 | $175.04 – $175.04 |
| 14 | WellCare dual medicare/medicaid professional · fee schedule · both | $175.04 | $175.04 | $175.04 – $175.04 |
| 15 | WellCare medicare advantage professional · fee schedule · both | $175.04 | $175.04 | $175.04 – $175.04 |
| 16 | UnitedHealthcare commercial professional · fee schedule · both | $189.97 | $189.97 | $175.04 – $204.89 |
| 17 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $208.89 | $208.89 | $208.89 – $208.89 |
| 18 | Humana epo/hmo/pos/ppo professional · percent of total billed charges · bothfrom % of charges | $418.86 | $418.86 | $418.86 – $418.86 |
| 19 | Aetna commercial professional · percent of total billed charges · bothfrom % of charges | $424.23 | $424.23 | $424.23 – $424.23 |
| 20 | Aetna medicare advantage facility · case rate · outpatient | $928.06 | $928.06 | $928.06 – $928.06 |
| 21 | Bcbs Il medicare advantage facility · case rate · outpatient | $928.06 | $928.06 | $928.06 – $928.06 |
| 22 | Humana dual medicare/medicaid facility · case rate · outpatient | $928.06 | $928.06 | $928.06 – $928.06 |
| 23 | Humana medicare advantage facility · case rate · outpatient | $928.06 | $928.06 | $928.06 – $928.06 |
| 24 | UnitedHealthcare commercial facility · case rate · outpatient | $928.06 | $928.06 | $928.06 – $928.06 |
| 25 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $928.06 | $928.06 | $928.06 – $928.06 |
Last updated: Feb 3, 2026
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