Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS A4216 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Sterile water, saline and/or dextrose, diluent/flush, 10 ml
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Injection and Infusion Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4216 |
| Related NDC Codes | • 00019-1188-75 - SODIUM CHLORIDE (PF) 0.9% • 00264-1800-31 - SODIUM CHLORIDE (100 ML PAB) 0.9% • 00264-1800-36 - SODIUM CHLORIDE (100 ML PAB) 0.9% • 00264-5804-00 - SODIUM CHLORIDE EXCEL PLUS 0.45% • 00338-0049-10 - SODIUM CHLORIDE (QUAD PACK, MINI-BAG) 0.9% |
National average reimbursement for HCPCS A4216 by major payers:
$0.55
$0.34
$0.38
$0.80
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A4216.
HCPCS A4216
5 of 25 sample ratesHigher to lower in this preview
Alissa Tucciarone
Slocum Dickson Medical Group PLLC
$0.34Published rateKaren Flick
Slocum Dickson Medical Group PLLC
$0.34Published rateLev Goldiner
Slocum Dickson Medical Group PLLC
$0.18Published rateAbigail Hall
Slocum Dickson Medical Group PLLC
$0.18Published rateKimberly Hurley
Slocum Dickson Medical Group PLLC
$0.18Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS A4216 vs. Other Injection and Infusion Supplies Codes
The HCPCS A4216 code is part of the Medical And Surgical Supplies services used for Injection and Infusion Supplies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A4216 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 00019-1188-75-NDC | Moderate | SODIUM CHLORIDE (PF) 0.9% |
| 00264-1800-31-NDC | Moderate | SODIUM CHLORIDE (100 ML PAB) 0.9% |
| 00264-1800-36-NDC | Moderate | SODIUM CHLORIDE (100 ML PAB) 0.9% |
| A4216-HCPCS | Low | Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4216. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4216 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS A4216) and we'll show you how you compare in 15 minutes or less.