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CPT 63052

LAM FACETC/FRMT ARTHRD LUM 1

Reported by 409 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

Based on 1–10 billing samples across every hospital reporting.

Low

$10

Average

$5.1k

Median

$4.3k

High

$76.2k

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$695$695—1–10$425$695
2The Finley HospitalDubuque, IA$1.3k$1.3k——$1.3k$1.3k
3Medical Ctiy ArgyleArgyle, TX$2.0k$3.2k$3.7k—$948$20.0k
4Medical City AllianceSAGINAW, TX$2.3k$4.0k$4.1k—$1.5k$20.0k
5Trinity Medical CenterRock Island, IL$1.3k$1.3k——$1.3k$1.3k
6University of Iowa Health Care Medical Center DowntownIowa City, IA$2.9k$2.9k$508—$2.3k$3.7k
7Unity HealthcareMuscatine, IA$1.3k$1.3k——$1.3k$1.3k
8Meriter Hospital, IncMadison, WI$730$923$417—$219$1.8k
9University of Iowa Health Care Medical CenterIowa City, IA$3.0k$3.2k$368—$2.8k$3.7k
10Medical City MckinneyMcKinney, TX$2k$3.2k$3.7k—$948$20.0k
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