☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
  1. Home
  2. /Codes
  3. /HCPCS
  4. /G0412
  5. /Case rate
HCPCS G0412

Open tx iliac spine uni/bil

Reported by 271 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

$1

Average

$10.2k

Median

$8.8k

High

$40k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$3.4k$3.4k$3.4k$3.4k—
2Medical Ctiy ArgyleArgyle, TX$975$19.5k$17.1k$28.3k$7.0k
3Medical City AllianceSAGINAW, TX$1.1k$17.2k$15.5k$24.3k$5.8k
4Trinity Medical CenterRock Island, IL$3.4k$3.4k$3.4k$3.4k—
5Unity HealthcareMuscatine, IA$3.4k$3.4k$3.4k$3.4k—
6Meriter Hospital, IncMadison, WI$7.0k$8.0k$8.0k$10.9k—
7Medical City MckinneyMcKinney, TX$998$19.5k$17.2k$28.3k$6.9k
8Medical City Las ColinasIrving, TX$930$17.1k$15.1k$24.3k$5.8k
9Med City Heart HospitalDallas, TX$975$19.2k$18.0k$25.7k$4.7k
10Medical City DentonArgyle, TX$975$19.5k$17.1k$28.3k$7.0k
Page 1 of 28

Look up this code directly

Ask Claude or any MCP client for HCPCS G0412 pricing at a specific hospital — see how to connect.

☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC