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  5. /Case rate
HCPCS 22513

HB PERCUTANEOUS VERTEBRAL AUGMENTATION; THORACIC W/IMAGING

Reported by 38 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

$3.0k

Average

$9.2k

Median

$9.5k

High

$19.1k

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.
1University of Iowa Health Care Medical Center DowntownIowa City, IA$12.6k$11.0k$3.9k—$3.2k$14.8k
2University of Iowa Health Care Medical CenterIowa City, IA$13.5k$13.4k$1.1k—$3.2k$14.8k
3Spring Valley Hospital Medical CenterLas Vegas, NV$3.7k$4.5k$2.0k———
4Valley Health Speciality HospitalLas Vegas, NV$3.6k$4.5k$2.1k———
5Summerlin Hospital Medical CenterLas Vegas, NV$3.6k$4.5k$2.1k———
6West Henderson HospitalHenderson, NV$3.6k$4.5k$2.1k———
7Henderson HospitalHenderson, NV$3.6k$4.5k$2.1k———
8Centennial HillsLas Vegas, NV$3.6k$4.5k$2.1k———
9The George Washington University HospitalWashington, DC$11.1k$11.8k$12.1k———
10Wellington Regional Medical CenterWellington, FL$12.0k$9.5k$4.7k———
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Look up this code directly

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