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
FACET JT/NRV L/S W US SNG
Mt Shasta, CA
See all hospitals reporting CPT 0216T →Price type
Dignity Health’s median price of $1.6k is 44% above the median hospital's median price ($1.1k), higher than 64% 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, 25 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 medicare|all plans fee schedule · outpatient | $436.08 | $436.08 | $436.08 – $436.08 |
| 2 | Anthem medicare|all plans fee schedule · outpatient | $436.08 | $436.08 | $436.08 – $436.08 |
| 3 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $436.08 | $436.08 | $436.08 – $436.08 |
| 4 | Humana medicare|all plans fee schedule · outpatient | $436.08 | $436.08 | $436.08 – $436.08 |
| 5 | Kaiser medicare|all plans fee schedule · outpatient | $436.08 | $436.08 | $436.08 – $436.08 |
| 6 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $436.08 | $436.08 | $436.08 – $436.08 |
| 7 | Anthem commercial|exchange fee schedule · outpatient | $1,163 | $1,163 | $1,163 – $1,163 |
| 8 | Anthem medicaid|all plans case rate · outpatient | $1,334 | $1,334 | $1,334 – $1,334 |
| 9 | Anthem commercial|all other plans fee schedule · outpatient | $1,435 | $1,435 | $1,435 – $1,435 |
| 10 | Cigna commercial|all other plans fee schedule · inpatient | $1,490 | $1,490 | $1,490 – $1,490 |
| 11 | Cigna commercial|all other plans fee schedule · outpatient | $1,490 | $1,490 | $1,490 – $1,490 |
| 12 | Cigna commercial|ppo fee schedule · inpatient | $1,490 | $1,490 | $1,490 – $1,490 |
| 13 | Cigna commercial|ppo fee schedule · outpatient | $1,490 | $1,490 | $1,490 – $1,490 |
| 14 | UnitedHealthcare commercial|hmo fee schedule · inpatient | $1,563 | $1,563 | $1,563 – $1,563 |
| 15 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $1,563 | $1,563 | $1,563 – $1,563 |
| 16 | Aetna commercial|all other plans fee schedule · outpatient | $1,581 | $1,581 | $1,581 – $1,581 |
| 17 | Aetna commercial|hmo fee schedule · outpatient | $1,581 | $1,581 | $1,581 – $1,581 |
| 18 | Aetna commercial|ppo fee schedule · outpatient | $1,581 | $1,581 | $1,581 – $1,581 |
| 19 | Aetna commercial|all other plans fee schedule · inpatient | $1,599 | $1,599 | $1,599 – $1,599 |
| 20 | Aetna commercial|hmo fee schedule · inpatient | $1,599 | $1,599 | $1,599 – $1,599 |
| 21 | Aetna commercial|ppo fee schedule · inpatient | $1,599 | $1,599 | $1,599 – $1,599 |
| 22 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $1,599 | $1,599 | $1,599 – $1,599 |
| 23 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $1,599 | $1,599 | $1,599 – $1,599 |
| 24 | MultiPlan commercial|all plans fee schedule · inpatient | $1,781 | $1,781 | $1,781 – $1,781 |
| 25 | MultiPlan commercial|all plans fee schedule · outpatient | $1,781 | $1,781 | $1,781 – $1,781 |
Last updated: Feb 28, 2026
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