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CPT 72202

XR Sacroiliac Joints Minimum 3 V DR

Reported by 171 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

Low

$0

Average

$174

Median

$128

High

$3.9k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$14$111$124$960$54
2Bluffton Health System LLCBluffton, IN$65$138$142$873$47
3Dukes Health System LLCPeru, IN$5$21$40$453$44
4Warsaw Health System LLCWarsaw, IN$20$169$147$654$58
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$37$138$137$603$54
6St. Joseph Health System, LLCWayne, IN$6$111$128$564$87
7Dupont Hospital LLCWayne, IN$32$111$126$796$54
8Wesley Health System LLCHattiesburg, MS$20$109$190$740$189
9Jackson HMA LLCJackson, MS$3$91$175$1.2k$254
10Porter Hospital LLCValparaiso, IN$36$70$113$813$61
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