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MS-DRG MS-460

SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC

Reported by 9 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

$29.4k

Average

$69.5k

Median

$79.1k

High

$87.8k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$64.3k$80.3k$79.1k$96.7k$12.1k
2Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$8.5k$84.0k$68.7k$84.0k$24.1k
3St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$70k$70k$70k$70k—
4Intermountain Front Range Inc. Dba Intermountain Health Lutheran HospitalWHEAT RIDGE, CO$8.5k$84.0k$80.6k$84.0k$8.3k
5Good Samaritan Medical Center, Llc DbaLAFAYETTE, CO$8.5k$84.0k$80.3k$84.0k$8.7k
6IHC Health Services Inc., DBA Intermountain Health Orem Community HospitalOrem, UT$29.4k$29.4k$29.4k$29.4k—
7St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITALButte, MT$42.0k$42.0k$42.0k$42.0k—
8IHC Health Services Inc., DBA Intermountain Health Cassia Regional HospitalBurley, ID$82.0k$87.8k$87.8k$93.6k$5.8k
9Brighton Community Hospital Association Dba Intermountain Health Platte Valley HospitalBRIGHTON, CO$87.3k$87.3k$87.3k$87.3k—

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