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CPT 63052

Lam Facetec/Foramot Drg Arthrd Lumbar 1 Vrt Sgm

Reported by 93 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Based on 13–130 billing samples across every hospital reporting.

Low

$0

Average

$56.4k

Median

$21.7k

High

$1613.4k

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$28.0k$28.0k—5–50$425$695
2St Peters HospitalAlbany, NY$3.6k$21.5k$21.5k5–50$170$76.2k
3Northwest Hospital LLCTucson, AZ$25.9k$33.0k$28.4k3–30$243$161.6k
4VHS Harper-Hutzel Hospital IncDetroit, MI$0$0——$0$377
5VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$0$0——$0$364
6IOM Health System LPFort Wayne, IN$362.1k$362.1k$23.2k—$203$417.8k
7Lutheran Musculoskeletal Center LLCFort Wayne, IN$266.0k$266.0k$16.3k—$233$361.9k
8Dupont Hospital LLCWayne, IN$175.1k$175.1k$4.0k—$223$179.1k
9Wesley Health System LLCHattiesburg, MS$27.5k$29.8k$21.2k—$231$60.6k
10Porter Hospital LLCValparaiso, IN$295.5k$295.5k——$203$295.5k
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