CPT 63090
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
REMOVAL OF MIDDLE; LOWER; OR SACRAL SPINE BONE WITH RELEASE OF SPINAL CORD OR NERVES; TRANSPERITONEAL OR RETROPERITONEAL APPROACH; SINGLE SEGMENT
Low
$1
Average
$6.2k
Median
$5.0k
High
$17.1k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 6.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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36 hospital rates
iThe hospitals that file a Medical Mutual rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 2 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 3 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 4 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 5 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 3 | $17.0k | $17.1k | $169 | 1% | — | $17.0k – $17.4k |
| 6 | Mayo Clinic Health System Osseo, WI professional · percent of total billed charges · outpatientfrom % of charges | 3 | $8.8k | $11.7k | $4.2k | 36% | — | $8.7k – $17.6k |
| 7 | Mayo Clinic Health System Menomonie, WI professional · percent of total billed charges · outpatientfrom % of charges | 3 | $8.8k | $11.7k | $4.2k | 36% | — | $8.7k – $17.6k |
| 8 | Mayo Clinic Health System Bloomer, WI professional · percent of total billed charges · outpatientfrom % of charges | 3 | $8.8k | $11.7k | $4.2k | 36% | — | $8.7k – $17.6k |
| 9 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 3 | $8.7k | $11.5k | $4.1k | 35% | — | $8.6k – $17.3k |
| 10 | Mayo Clinic Health System Barron, WI professional · percent of total billed charges · outpatientfrom % of charges | 3 | $8.8k | $11.7k | $4.2k | 36% | — | $8.7k – $17.6k |
| 11 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · inpatient | 1 | $982 | $982 | — | — | — | $982 – $982 |
| 12 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · outpatient | 1 | $982 | $982 | — | — | — | $982 – $982 |
| 13 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · percent of total billed charges · inpatientfrom % of charges | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 14 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 15 | St Joseph Mercy Oakland Pontiac, MI professional · fee schedule · inpatient | 1 | $982 | $982 | — | — | — | $982 – $982 |
| 16 | St Joseph Mercy Oakland Pontiac, MI professional · fee schedule · outpatient | 1 | $982 | $982 | — | — | — | $982 – $982 |
| 17 | St Joseph Mercy Oakland Pontiac, MI professional · percent of total billed charges · inpatientfrom % of charges | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 18 | St Joseph Mercy Oakland Pontiac, MI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 19 | St. Joseph Health System, LLC Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 20 | St. Joseph Health System, LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 21 | TRINITY HOSPITAL HOLDING COMPANY St.Clairsville, OH case rate · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | University Hospitals Health System Chardon, OH facility · case rate · outpatient | 2 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 23 | University Hospitals Health System Chardon, OH facility · fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 24 | University Hospitals Health System Ravenna, OH facility · case rate · outpatient | 3 | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 25 | University Hospitals Health System Ravenna, OH facility · fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
← Payers reporting CPT 63090 · Snapshot 20261113T090226Z-3ce6c0b8