T1016
HCPCSMedicine & Other ServicesCase management each 15 min
As billed by one hospital: “CASE MANAGEMENT EA 15 MIN”
Based on the latest published hospital price files, code T1016 (Case management each 15 min) appears at 4 hospitals across 4 cities in 2 states with disclosed cash prices from $20.00 to $38.40. This is public hospital price transparency data, not a guaranteed estimate of your bill.
New to this? Read How to compare hospital prices by CPT code.
What this is
This is a non-surgical medical service — an injection or infusion, a therapy, a specialty test, or another treatment delivered by clinical staff.
What affects the price
Drugs and supplies used during the service are frequently billed on their own separate lines, so the total can exceed the price shown here. Ask which additional codes are expected.
Category: Medicine & Other Services
What the published prices show
Across the 5 hospitals that disclose a cash price for code T1016, the median is $28.00, and disclosed prices run from $20.00 to $38.40. At 100% of the hospitals that publish both, the cash price is lower than the midpoint of the disclosed insurance-negotiated rates — so paying cash can sometimes beat using insurance for this service. Confirm with your plan first.
Published-price availability
Compare T1016 prices
Filter by hospital, city, setting, or payer — the summary and charts update with your filters.
Published cash prices for code T1016 vary by about 92% across the 4 hospitals with disclosed prices here — from $20.00 to $38.40. Shopping around can matter.
Lowest cash price by hospital
- Sanford Wheaton$28.00
Cash price by city
Reflects your current filters.
- Chicago · 1 hospital$20.00
- Wheaton · 1 hospital$28.00
- Luverne · 1 hospital$29.60
- Thief River Falls · 1 hospital$38.40
5 prices shown.
| Service | Hospital | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|---|
| Case management each 15 min Inpatient | Sanford Luverne Medical Center | T1016 HCPCS | $37.00 | $29.60 | $19.82 – $35.00 | — | |
| Case management each 15 min Inpatient | Sanford Wheaton | T1016 HCPCS | $35.00 | $28.00 | $19.25 – $33.11 | — | |
| Case management per 15m pa only- rsa Outpatient | Advocate Illinois Masonic Medical Center | T1016 HCPCS | $40.00 | $20.00 | $13.96 – $33.76 | — | |
| Case management per 15m pa only- mhp Outpatient | Advocate Illinois Masonic Medical Center | T1016 HCPCS | $40.00 | $20.00 | $13.96 – $33.76 | — | |
| Case management each 15 min Outpatient | Sanford Thief River Falls Medical Center | T1016 HCPCS | $48.00 | $38.40 | $16.49 – $45.12 | — |
How to read these prices
- Cash price
- The discounted self-pay price for paying directly, without insurance.
- List price
- The hospital’s full undiscounted charge — rarely what anyone pays.
- Negotiated rate
- A rate for a specific insurer and plan; your share depends on your benefits.
- Allowed amount
- A historical reference for what was actually allowed, where disclosed.
Hospitals that publish T1016 prices
Open a hospital to see this code in the context of its full published prices.
Code T1016: frequently asked
- What does code T1016 cost?
- Across the published hospital price files, the disclosed cash price for T1016 ranges from $20.00 to $38.40. This is public hospital price transparency data, not a guaranteed estimate of your bill.
- Will this be my final bill?
- Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
- What is code T1016?
- T1016 is the billing code hospitals use to identify "Case management each 15 min" on their published price files. We use it to line up the same service across different hospitals.
- Why do T1016 prices differ between hospitals?
- 4 hospitals across 2 states publish a price for T1016 here. Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
- What this page is not
- It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.