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HCPCS 72100TC

X-RAY EXAM L-S SPINE 2/3 VWS

Reported by 16 hospitals in the network.

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.

National pricing summary

Low

$58

Average

$224

Median

$157

High

$548

Hospitals reporting this code

#HospitalLocation
1St Joseph’s Health Services IncHillsboro, WI$259$548$475$548$125
2Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$548$548$548$548—
3Memorial Hospital of BoscobelBoscobel, WI$259$259$259$259—
4Tri-County Memorial Hospital IncWhitehall, WI$548$548$548$548—
5Hmh Hospitals CorporationNorth Bergen, NJ$58$63$155$295$115
6Hmh Hospitals CorporationEdison, NJ$58$58$58$58—
7Hmh Hospitals CorporationHackensack, NJ$58$84$122$337$97
8Hmh Hospitals CorporationBrick, NJ$58$58$58$58—
9Hmh Hospitals CorporationRed Bank, NJ$55$67$156$295$114
10Hmh Hospitals CorporationEdison, NJ$58$312$228$312$120
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