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
PR Arthrodesis Post/Posterolateral Tech Sgl Interspace Lumbar
The hospitals that file a Medicaid 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.
Filter by billing methodology
Filter by billing class
79 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $70.00 | $70.00 – $70.00 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $75.00 | $75.00 – $75.00 |
| 3 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $100.00 | $100.00 – $100.00 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $1,275 | $1,275 – $1,275 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $294.54 | $72.70 – $699.08 |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $699.08 | $699.08 – $699.08 |
| 7 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $385.89 | $72.70 – $699.08 |
| 8 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $6,465 | $6,465 – $6,465 |
| 9 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $1,226 | $1,226 – $1,226 |
| 10 | Dupont Hospital LLC Wayne, IN facility · other · outpatient | 1 | $4,316 | $4,316 – $4,316 |
| 11 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $1,030 | $1,030 – $1,030 |
| 12 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 1 | $14,304 | $14,304 – $14,304 |
| 13 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $105.00 | $105.00 – $105.00 |
| 14 | Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient | 1 | $7,418 | $7,418 – $7,418 |
| 15 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $238.64 | $238.64 – $238.64 |
| 16 | Holy Cross Germantown Hospital Germantown, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $2,023 | $558.08 – $3,488 |
| 17 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 1 | $355.64 | $98.11 – $613.16 |
| 18 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 1 | $441.48 | $98.11 – $613.16 |
| 19 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 1 | $269.79 | $98.11 – $613.16 |
| 20 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $2,023 | $558.08 – $3,488 |
| 21 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · inpatientfrom % of charges | 1 | $3,488 | $3,488 – $3,488 |
| 22 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · outpatientfrom % of charges | 1 | $558.08 | $558.08 – $558.08 |
| 23 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $6,451 | $6,451 – $6,451 |
| 24 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $6,465 | $6,465 – $6,465 |
| 25 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · fee schedule · outpatient | 1 | $1,226 | $1,226 – $1,226 |
← Payers reporting CPT 22612 · Snapshot 20261108T203506Z-bb90dbab