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  5. /Percent of billed charges
CPT 63052

PR LAM FACETEC/FORAMOT DRG ARTHRD LUMBAR 1 VRT SGM

Reported by 71 hospitals in the network under the percent of billed charges 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 percentage of total billed charges.

National pricing summary

Based on 82–820 billing samples across every hospital reporting.

Low

$100

Average

$58.0k

Median

$622

High

$333.8k

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$121.9k$133.1k$75.3k45–450$425$695
2Northwestern Memorial HospitalChicago, IL$170.6k$172.0k$72.5k19–190——
3Lutheran Musculoskeletal Center LLCFort Wayne, IN$168.5k$177.5k$63.6k2–20$233$361.9k
4Longview Medical Center LPLongview, TX$157.9k$191.3k$105.6k2–20$245$384.1k
5Mercy Health Saint MarysGrand Rapids, MI$90$248$2322–20$9$635
6City Hospital, Inc.Martinsburg, WV$7.0k$7.0k$1722–20$206$426
7Forsyth Memorial Hospital, Inc.Winston-Salem, NC$439$439$22–20——
8Dupont Hospital LLCWayne, IN$99.5k$101.7k$37.3k1–10$223$179.1k
9River Oaks Hospital LLCFlowood, MS$206.8k$184.3k$72.9k1–10$231$295.5k
10Mat-Su Valley Medical Center LLCPalmer, AK$164.4k$147.2k$54.4k1–10$308$199.5k
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