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CPT 0172T

LUMBAR SPINE PROCESS ADDL

Reported by 78 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

$990

Average

$2.4k

Median

$2.0k

High

$6.9k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Hca Florida University HospitalDavie, FL$1.6k$2.0k$794—$1.4k$3.3k
2Hca Florida Twin Cities HospitalNICEVILLE, FL$2.1k$2.1k$391—$1.7k$2.5k
3Hca Florida Citrus HospitalInverness, FL$2.0k$2.0k$633—$1.4k$2.7k
4Hca Florida Lawnwood HospitalFort Pierce, FL$3.1k$3.1k$535—$2.5k$3.6k
5Hca Florida Englewood HospitalENGLEWOOD, FL$2.2k$2.2k$654—$1.6k$2.9k
6Hca Florida St. Petersburg HospitalST. PETERSBURG, FL$2.0k$2.0k$676—$1.3k$2.7k
7Hca Florida Lake Monroe HospitalSANFORD, FL$1.9k$1.9k$131—$1.7k$2.0k
8Hca Florida Raulerson HospitalOKEECHOBEE, FL$3.1k$3.1k$535—$2.5k$3.6k
9Hca Florida Ocala HospitalSUMMERFIELD, FL$1.4k$1.4k——$1.4k$1.4k
10Hca Florida Trinity HospitalTRINITY, FL$2.0k$2.0k$633—$1.4k$2.7k
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