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CPT 63052

PR LAM FACETEC/FORAMOT DRG ARTHRD LUMBAR 1 VRT SGM

Reported by 560 hospitals in the network.

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.

National pricing summary

Based on 121–1,084 billing samples across every hospital reporting.

Low

$13

Average

$9.9k

Median

$3.3k

High

$299.9k

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.
1Northwestern Medicine Central DuPage HospitalWinfield, IL$92.6k$117.9k$80.1k52–520$425$695
2Northwestern Memorial HospitalChicago, IL$170.6k$172.0k$72.5k19–190——
3Mercy Health Saint MarysGrand Rapids, MI$147$338$2.1k12–120$9$41.9k
4St Peters HospitalAlbany, NY$560$664$3.7k5–50$26$76.2k
5Northwest Hospital LLCTucson, AZ$25.9k$43.1k$46.8k3–30$243$161.6k
6Stanford Health CareStanford, CA$532$573$40614$74$1.9k
7Lutheran Musculoskeletal Center LLCFort Wayne, IN$162.9k$167.4k$80.5k2–20$233$361.9k
8Longview Medical Center LPLongview, TX$34.2k$86.3k$106.8k2–20$245$384.1k
9City Hospital, Inc.Martinsburg, WV$255$747$1.7k2–20$206$426
10Forsyth Memorial Hospital, Inc.Winston-Salem, NC$439$439$22–20——
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