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 MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP
Dillon, SC
See all hospitals reporting CPT 76016 →Price type
McLeod Health’s median price of $86 is 28% below the median hospital's median price ($119), higher than 16% of the 1,645 hospitals reporting CPT 76016. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 17 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 | Tricare dha fee schedule · both | $76 | $76 | — | — | — | $76 – $76 |
| 2 | Blue Cross Blue Shield medicare advantage fee schedule · both | $80 | $80 | — | — | — | $80 – $80 |
| 3 | Medicare medicare fee schedule · both | $80 | $80 | — | — | — | $80 – $80 |
| 4 | UnitedHealthcare medicare advantage fee schedule · both | $81 | $81 | — | — | — | $81 – $81 |
| 5 | Aetna medicare advantage fee schedule · both | $82 | $82 | — | — | — | $82 – $82 |
| 6 | Clover medicare advantage fee schedule · both | $83 | $83 | — | — | — | $83 – $83 |
| 7 | Humana medicare advantage fee schedule · both | $83 | $83 | — | — | — | $83 – $83 |
| 8 | WellCare medicare advantage fee schedule · both | $86 | $86 | — | — | — | $86 – $86 |
| 9 | Molina medicare advantage fee schedule · both | $85 | $109 | $33 | 31% | — | $85 – $156 |
| 10 | Ambetter medicare advantage fee schedule · both | $144 | $144 | — | — | — | $144 – $144 |
| 11 | UnitedHealthcare commercial other · both | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 12 | Blue Cross Blue Shield hix percent of total billed charges · bothfrom % of charges | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 13 | Cigna commercial other · both | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 14 | Blue Cross Blue Shield state percent of total billed charges · bothfrom % of charges | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 15 | Blue Cross Blue Shield preferred percent of total billed charges · bothfrom % of charges | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 16 | Blue Cross Blue Shield choice percent of total billed charges · bothfrom % of charges | $8.7k | $8.7k | — | — | — | $8.7k – $8.7k |
| 17 | Aetna commercial percent of total billed charges · bothfrom % of charges | $10.2k | $10.2k | — | — | — | $10.2k – $10.2k |
Last updated: Jul 20, 2026
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