APR-DRG 023
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
SPINAL PROCEDURES
24 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.
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| # | |||||
|---|---|---|---|---|---|
| 1 | UnitedHealthcare case rate · inpatient · +6 other terms | 22 | $130,499 | $118,162 | $9,910 – $154,591 |
| 2 | Molina facility · case rate · inpatient · +7 other terms | 15 | $35,434 | $53,060 | $6,862 – $174,761 |
| 3 | Humana facility · case rate · inpatient · +5 other terms | 12 | $61,174 | $56,143 | $6,533 – $173,096 |
| 4 | Aetna fee schedule · inpatient · +6 other terms | 10 | $25,493 | $26,895 | $12,622 – $49,442 |
| 5 | Highmark fee schedule · inpatient · +2 other terms | 9 | $28,353 | $30,322 | $14,389 – $56,364 |
| 6 | Wellmark case rate · inpatient · +1 other terms | 9 | $192,674 | $184,572 | $144,251 – $231,760 |
| 7 | Blue Cross Blue Shield facility · case rate · inpatient · +5 other terms | 7 | $40,267 | $71,701 | $8,917 – $93,537 |
| 8 | Aetna Better Health facility · case rate · inpatient · +1 other terms | 6 | $10,623 | $12,479 | $6,862 – $45,639 |
| 9 | Kaiser case rate · inpatient · +2 other terms | 5 | $111,179 | $117,358 | $109,151 – $134,783 |
| 10 | Amerihealth Caritas case rate · inpatient | 3 | $136,693 | $136,693 | $136,693 – $136,693 |
| 11 | Anthem facility · case rate · inpatient · +5 other terms | 3 | $85,030 | $89,782 | $65,872 – $93,537 |
| 12 | Caresource facility · case rate · inpatient · +3 other terms | 3 | $85,030 | $84,431 | $65,872 – $102,392 |
| 13 | Medicaid case rate · inpatient · +1 other terms | 3 | $185,975 | $185,975 | $185,975 – $185,975 |
| 14 | Medical Mutual per diem · both · +4 other terms | 2 | $3,906 | $3,906 | $3,588 – $4,224 |
| 15 | WellCare case rate · inpatient · +1 other terms | 2 | $34,617 | $26,071 | $10,594 – $51,710 |
| 16 | Bcbs Ny case rate · inpatient · +1 other terms | 1 | $51,541 | $51,541 | $31,159 – $81,578 |
| 17 | Carefirst facility · case rate · inpatient | 1 | $93,537 | $93,537 | $93,537 – $93,537 |
| 18 | Cigna case rate · inpatient · +3 other terms | 1 | $43,374 | $43,374 | $26,222 – $68,652 |
| 19 | Excellus case rate · inpatient · +2 other terms | 1 | $26,244 | $26,244 | $9,910 – $81,578 |
| 20 | Premera facility · case rate · inpatient | 1 | $93,537 | $93,537 | $93,537 – $93,537 |
| 21 | Regence facility · case rate · inpatient | 1 | $93,537 | $93,537 | $93,537 – $93,537 |
| 22 | Sanford Health Plan case rate · inpatient | 1 | $65,019 | $65,019 | $55,832 – $74,897 |
| 23 | Superior Healthplan facility · case rate · inpatient | 1 | $14,045 | $14,045 | $11,446 – $16,643 |
| 24 | Ucare facility · case rate · inpatient | 1 | $22,090 | $22,090 | $14,274 – $32,614 |
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