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CPT 63053

PR LAM FACETEC/FORAMOT DRG ARTHRD LMBR EA ADDL SGM

Reported by 531 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 15–150 billing samples across every hospital reporting.

Low

$13

Average

$8.7k

Median

$2.7k

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.
1St Peters HospitalAlbany, NY$496$625$3.7k6–60$23$76.2k
2Lutheran Musculoskeletal Center LLCFort Wayne, IN$187.7k$193.0k$92.8k2–20$174$417.1k
3Northwest Hospital LLCTucson, AZ$27.1k$44.9k$49.2k2–20$215$169.3k
4Forsyth Memorial Hospital, Inc.Winston-Salem, NC$439$439$22–20——
5River Oaks Hospital LLCFlowood, MS$179.1k$163.1k$97.6k1–10$205$298.5k
6Kaiser Foundation Hospital - FresnoFRESNO, CA$262$262—1–10——
7University of Arkansas for Medical SciencesLittle Rock, AR$185$920$2.1k1–10$174$7.8k
8The Finley HospitalDubuque, IA$424$450$273—$196$1.2k
9Northwest Iowa Hospital CorporationSioux City, IA$295$345$156—$153$588
10St Luke'sJones Regional Medical CenterAnamosa, IA$407$363$158—$196$588
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