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HCPCS 72200TC

X-RAY EXAM SI JOINTS

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

$50

Average

$207

Median

$151

High

$478

Hospitals reporting this code

#HospitalLocation
1St Joseph’s Health Services IncHillsboro, WI$259$478$423$478$95
2Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$478$478$478$478—
3Memorial Hospital of BoscobelBoscobel, WI$259$259$259$259—
4Tri-County Memorial Hospital IncWhitehall, WI$478$478$478$478—
5Hmh Hospitals CorporationNorth Bergen, NJ$50$52$149$295$119
6Hmh Hospitals CorporationEdison, NJ$50$50$50$50—
7Hmh Hospitals CorporationHackensack, NJ$43$65$107$337$103
8Hmh Hospitals CorporationBrick, NJ$50$50$50$50—
9Hmh Hospitals CorporationRed Bank, NJ$47$55$149$295$119
10Hmh Hospitals CorporationEdison, NJ$50$312$225$312$124
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