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CDM 3612251101

HC PERQ VERTEBROPLASTY UNI/BI INJECTION LUMBOSACRAL

Reported by 8 hospitals in the network under the case rate methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$3.2k

Average

$5.0k

Median

$3.5k

High

$15.4k

Hospitals reporting this code

#HospitalLocation
1Sharp Chula Vista Medical CenterChula Vista, CA$1.3k$15.4k$15.4k$81.5k—
2Fairview Health ServicesMinneapolis, MN$966$4.2k$3.7k$11.4k$1.4k
3Fairview Health ServicesEdina, MN$966$3.9k$3.5k$7.8k$1.3k
4Fairview Health ServicesBurnsville, MN$966$4.0k$3.5k$7.8k$1.4k
5HealthEast St John's HospitalMaplewood, MN$966$3.9k$3.5k$7.8k$1.3k
6Fairview Health ServicesPrinceton, MN$966$4.2k$3.7k$7.8k$1.4k
7Fairview Health ServicesWyoming, MN$128$4.1k$3.2k$7.8k$1.8k
8HealthEast Woodwinds HospitalWoodbury, MN$966$3.9k$3.5k$7.8k$1.3k

Look up this code directly

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