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MS-DRG MS-459

SPINAL FUSION EXCEPT CERVICAL WITH 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

$78.0k

Average

$133.4k

Median

$145.6k

High

$158.3k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$97.0k$136.8k$135.8k$175.4k$27.7k
2Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$8.5k$152.3k$120.2k$152.3k$51.6k
3Intermountain Front Range Inc. Dba Intermountain Health Lutheran HospitalWHEAT RIDGE, CO$8.5k$152.3k$146.2k$152.3k$15.1k
4Good Samaritan Medical Center, Llc DbaLAFAYETTE, CO$8.5k$152.3k$145.6k$152.3k$15.7k
5IHC Health Services Inc., DBA Intermountain Health Orem Community HospitalOrem, UT$78.0k$78.0k$78.0k$78.0k—
6IHC Health Services Inc., DBA Intermountain Health Cassia Regional HospitalBurley, ID$139.7k$149.6k$149.6k$159.5k$9.9k
7Brighton Community Hospital Association Dba Intermountain Health Platte Valley HospitalBRIGHTON, CO$158.3k$158.3k$158.3k$158.3k—

Look up this code directly

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