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MS-DRG MS-455

COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC

Reported by 7 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

$28.5k

Average

$95.1k

Median

$101.1k

High

$140.0k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$81.5k$100.3k$99.7k$121.8k$15.3k
2Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$8.5k$105.8k$85.1k$105.8k$32.8k
3Intermountain Front Range Inc. Dba Intermountain Health Lutheran HospitalWHEAT RIDGE, CO$8.5k$105.8k$101.5k$105.8k$10.5k
4Good Samaritan Medical Center, Llc DbaLAFAYETTE, CO$8.5k$105.8k$101.1k$105.8k$10.9k
5IHC Health Services Inc., DBA Intermountain Health Orem Community HospitalOrem, UT$28.5k$28.5k$28.5k$28.5k—
6IHC Health Services Inc., DBA Intermountain Health Cassia Regional HospitalBurley, ID$130.8k$140.0k$140.0k$149.3k$9.3k
7Brighton Community Hospital Association Dba Intermountain Health Platte Valley HospitalBRIGHTON, CO$109.9k$109.9k$109.9k$109.9k—

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