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CPT 63053

PR LAM FACETEC/FORAMOT DRG ARTHRD LMBR EA ADDL SGM

Reported by 275 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$0

Average

$2.6k

Median

$358

High

$34.8k

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.
1The Finley HospitalDubuque, IA$391$362$145—$196$588
2Northwest Iowa Hospital CorporationSioux City, IA$351$359$152—$153$588
3St Luke'sJones Regional Medical CenterAnamosa, IA$407$363$158—$196$588
4St Luke's Methodist HospitalCedar Rapids, IA$407$364$157—$196$588
5Trinity Medical CenterRock Island, IL$206$331$145—$196$588
6Trinity Medical CenterBettendorf, IA$307$351$158—$196$588
7University of Iowa Health Care Medical Center DowntownIowa City, IA$442$524$409—$0$1.6k
8Unity HealthcareMuscatine, IA$391$351$151—$196$588
9Trinity Regional Medical CenterFort Dodge, IA$442$393$154—$196$588
10Meriter Hospital, IncMadison, WI$199$285$147—$194$649
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