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  5. /Case rate
CPT 72285

DISCOGRAPHY CERV/THOR SPINE

Reported by 161 hospitals in the network under the case rate 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 flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$0

Average

$1.8k

Median

$2.0k

High

$13.0k

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$1.9k$1.6k$690—$243$4.5k
2Northwest Iowa Hospital CorporationSioux City, IA$2.0k$2.0k$29—$1.7k$5.2k
3St Luke's Methodist HospitalCedar Rapids, IA$1.9k$1.9k$27—$1.6k$4.9k
4Trinity Medical CenterRock Island, IL$2.1k$1.8k$826—$317$5.5k
5Trinity Medical CenterBettendorf, IA$1.9k$2.0k$357—$1.7k$5.0k
6Unity HealthcareMuscatine, IA$1.8k$1.6k$733—$317$5.9k
7Trinity Regional Medical CenterFort Dodge, IA$1.9k$1.9k$27—$825$5.1k
8Meriter Hospital, IncMadison, WI$292$1000$850—$105$2.9k
9Central Iowa Hospital CorporationDes Moines, IA$1.9k$1.9k$27—$1.3k$4.8k
10Central Iowa Hospital CorporationDes Moines, IA$2.0k$2.0k$29—$1.0k$5.0k
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