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
Njx paravert w/us lumb/sac
Lebanon, NH
See all hospitals reporting CPT 0216T →Price type
Mary Hitchcock Memorial Hospital’s median price of $695 is 36% below the median hospital's median price ($1.1k), higher than 11% 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: 7 payers, 35 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 | UnitedHealthcare uhc - va community care network - dhps professional · fee schedule · outpatient | $189.49 | $189.49 | $189.49 – $189.49 |
| 2 | Ambetter ambetter commercial - exchange - dhps professional · fee schedule · outpatient | $449.47 | $449.47 | $449.47 – $449.47 |
| 3 | Ambetter ambetter commercial - exchange - dhpn professional · fee schedule · outpatient | $469.29 | $469.29 | $469.29 – $469.29 |
| 4 | Anthem anthem - medicare advantage - dhp professional · fee schedule · outpatient | $469.29 | $469.29 | $469.29 – $469.29 |
| 5 | Bcbs Vt bcbs of vermont - medicare advantage - dhp professional · fee schedule · outpatient | $469.29 | $469.29 | $469.29 – $469.29 |
| 6 | UnitedHealthcare uhc - medicare advantage - dhp professional · fee schedule · outpatient | $469.29 | $469.29 | $469.29 – $469.29 |
| 7 | UnitedHealthcare uhc - va community care network - dhpn professional · fee schedule · outpatient | $469.29 | $469.29 | $469.29 – $469.29 |
| 8 | Aetna aetna medicare advantage - dhp professional · fee schedule · outpatient | $483.36 | $483.36 | $483.36 – $483.36 |
| 9 | Cigna cigna medicare advantage - dhp professional · fee schedule · outpatient | $483.36 | $483.36 | $483.36 – $483.36 |
| 10 | WellCare wellcare - medicare advantage - dhp professional · fee schedule · outpatient | $488.06 | $488.06 | $488.06 – $488.06 |
| 11 | Bcbs Vt bcbs of vermont - the vermont health plan professional · fee schedule · outpatient | $492.28 | $492.28 | $492.28 – $492.28 |
| 12 | Ambetter ambetter commercial - exchange behavioral health - dhp professional · fee schedule · outpatient | $492.75 | $492.75 | $492.75 – $492.75 |
| 13 | Aetna aetna hmo/pos/ppo professional · fee schedule · outpatient | $533.93 | $533.93 | $533.93 – $533.93 |
| 14 | Aetna aetna hmo/pos/ppo - arnb professional · fee schedule · outpatient | $533.93 | $533.93 | $533.93 – $533.93 |
| 15 | UnitedHealthcare uhc - freedom plan - dhp professional · fee schedule · outpatient | $700.00 | $700.00 | $700.00 – $700.00 |
| 16 | UnitedHealthcare uhc - tiered freedom plan professional · fee schedule · outpatient | $700.00 | $700.00 | $700.00 – $700.00 |
| 17 | Anthem anthem - medicare advantage facility · fee schedule · outpatient | $996.29 | $996.29 | $996.29 – $996.29 |
| 18 | Bcbs Vt bcbs of vermont - medicare advantage facility · fee schedule · outpatient | $996.29 | $996.29 | $996.29 – $996.29 |
| 19 | UnitedHealthcare uhc - medicare advantage facility · fee schedule · outpatient | $996.29 | $996.29 | $996.29 – $996.29 |
| 20 | UnitedHealthcare uhc - va community care network facility · fee schedule · outpatient | $996.29 | $996.29 | $996.29 – $996.29 |
| 21 | Aetna aetna medicare advantage facility · fee schedule · outpatient | $1,026 | $1,026 | $1,026 – $1,026 |
| 22 | Cigna cigna medicare advantage facility · fee schedule · outpatient | $1,026 | $1,026 | $1,026 – $1,026 |
| 23 | WellCare wellcare - medicare advantage facility · fee schedule · outpatient | $1,036 | $1,036 | $1,036 – $1,036 |
| 24 | Aetna aetna - hmo/pos/ppo professional · fee schedule · outpatient | $1,110 | $1,110 | $1,110 – $1,110 |
| 25 | UnitedHealthcare uhc - hmo/pos/ppo professional · fee schedule · outpatient | $1,149 | $1,149 | $1,149 – $1,149 |
Last updated: Jan 1, 2026
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