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HCPCS G0412

OPEN TX ILIAC SPINE UNI/BIL

Reported by 11 hospitals in the network under the percent of billed charges 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 percentage of total billed charges.

National pricing summary

Low

$1.3k

Average

$22.0k

Median

$30.6k

High

$65.5k

Hospitals reporting this code

#HospitalLocation
1River Oaks Hospital LLCFlowood, MS$653$70.7k$65.5k$97.9k$28.3k
2Vanderbilt Wilson County HospitalLebanon, TN$448$1.2k$1.3k$2.0k$187
3Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$448$1.2k$1.3k$2.0k$187
4Vanderbilt University Medical CenterNashville, TN$448$1.2k$1.3k$2.0k$187
5Vanderbilt Bedford HospitalShelbyville, TN$448$1.2k$1.3k$2.0k$187
6Northside Hospital, Inc.Lawrenceville, GA$614$35k$37.0k$50k$10.5k
7Northside Hospital, Inc.Canton, GA$614$34.9k$33.4k$50k$9.0k
8Northside Hospital, Inc.Atlanta, GA$614$32.4k$30.6k$50k$6.3k
9Northside Hospital, Inc.Duluth, GA$614$35k$37.0k$50k$10.5k
10Northside Hospital, Inc.Cumming, GA$614$32.4k$30.6k$50k$6.3k
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