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HCPCS 64636

HB DESTR BY NEUROLYTIC W/IMG LUMBAR/SACRAL EA ADDL FACET JNT

Reported by 21 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

$162

Average

$3.9k

Median

$3.2k

High

$9.5k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$774$2.9k$2.9k$4.1k$508
2University of Iowa Health Care Medical CenterIowa City, IA$1.1k$3.0k$3.2k$4.1k$368
3Northwest Texas Healthcare System, Inc.Amarillo, TX—$1.7k$1.7k—$964
4The George Washington University HospitalWashington, DC—$636$1.1k—$844
5Wellington Regional Medical CenterWellington, FL—$2.5k$2.2k—$767
6Palmdale Regional Medical CenterPalmdale, CA—$1.6k$1.6k—$1.0k
7Northwest Texas Healthcare SystemAmarillo, TX—$734$1.1k—$718
8St. Mary's Regional Medical CenterEnid, OK—$4k$4k——
9Sonora Community HospitalSonora, CA$51$3.8k$4.7k$10.4k$1.9k
10Glendale Adventist Medical CenterGlendale, CA$51$2.9k$3.0k$11.1k$381
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