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
PERCUTANEOUS INJECTION INTERVERTABRAL DISC W GUIDANCE LUMBAR FIRST LEVEL
Low
$169
Average
$11.4k
Median
$11.6k
High
$28.1k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 2.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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19 hospital rates
iThe hospitals that file a Tricare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 2 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 3 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 4 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $12.5k | $12.5k | — | — | — | $12.5k – $12.5k |
| 5 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $12.5k | $12.5k | — | — | — | $12.5k – $12.5k |
| 6 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $169 | $169 | — | — | — | $169 – $169 |
| 7 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 8 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 9 | Kaleida Health Buffalo, NY fee schedule · outpatient | 1 | $15.2k | $15.2k | — | — | — | $15.2k – $15.2k |
| 10 | LECONTE MEDICAL CENTER Sevierville, TN fee schedule · outpatient | 1 | $12.5k | $12.5k | — | — | — | $12.5k – $12.5k |
| 11 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $11.5k | $11.5k | — | — | — | $11.5k – $11.5k |
| 12 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN fee schedule · outpatient | 1 | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 13 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN fee schedule · outpatient | 1 | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 14 | OCHSNER BAYOU LLC Raceland, LA percent of total billed charges · outpatientfrom % of charges | 1 | $9.9k | $9.9k | $521 | 5% | — | $9.4k – $10.4k |
| 15 | PARKWEST MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 16 | PARKWEST MEDICAL CENTER Louisville, TN fee schedule · outpatient | 1 | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 17 | PRISMA HEALTH NORTH GREENVILLE LTACH HOSPITAL TRAVELERS REST, SC percent of total billed charges · bothfrom % of charges | 1 | $28.1k | $28.1k | — | — | — | $28.1k – $28.1k |
| 18 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · outpatient | 1 | $15.3k | $15.3k | — | — | — | $15.3k – $15.3k |
| 19 | ROANE COUNTY MEDICAL CENTER Harriman, TN fee schedule · outpatient | 1 | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
← Payers reporting CPT 0627T · Snapshot 20261113T090226Z-3ce6c0b8