Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
NJX INTERLAMINAR LMBR/SAC
Waco, TX
See all hospitals reporting CPT 62322 →Price type
Ascension Providence’s median price of $873 is 21% below the median hospital's median price ($1.1k), higher than 28% of the 2,095 hospitals reporting CPT 62322. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 21 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield 975_bcbs star outpatient 20241201 fee schedule · outpatient | $262.86 | $262.86 | $262.86 – $262.86 |
| 2 | Molina 908_molina chip outpatient 20241201 fee schedule · outpatient | $262.86 | $262.86 | $262.86 – $262.86 |
| 3 | Superior Healthplan 904_superior star outpatient 20241201 fee schedule · outpatient | $262.86 | $262.86 | $262.86 – $262.86 |
| 4 | Superior Healthplan 907_superior star plus outpatient 20241201 fee schedule · outpatient | $262.86 | $262.86 | $262.86 – $262.86 |
| 5 | UnitedHealthcare 906_uhc star plus outpatient 20241201 fee schedule · outpatient | $262.86 | $262.86 | $262.86 – $262.86 |
| 6 | UnitedHealthcare 909_uhc star kids outpatient 20241201 fee schedule · outpatient | $262.86 | $262.86 | $262.86 – $262.86 |
| 7 | UnitedHealthcare 928_uhc star outpatient 20250701 fee schedule · outpatient | $262.86 | $262.86 | $262.86 – $262.86 |
| 8 | Blue Cross Blue Shield 872_blue cross blue shield myblueheath 20250101 fee schedule · outpatient | $500.06 | $500.06 | $500.06 – $500.06 |
| 9 | Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 fee schedule · outpatient | $625.05 | $625.05 | $625.05 – $625.05 |
| 10 | Tricare 877_tricare outpatient 20250101 other · outpatient | $872.56 | $872.56 | $872.56 – $872.56 |
| 11 | Tricare 986_tricare inpatient 20251001 other · inpatient | $872.56 | $872.56 | $872.56 – $872.56 |
| 12 | WellCare 918_wellcare allwell medicare advantage outpatient 20250101 other · outpatient | $872.56 | $872.56 | $872.56 – $872.56 |
| 13 | WellCare 994_wellcare allwell medicare advantage inpatient 20251001 other · inpatient | $872.56 | $872.56 | $872.56 – $872.56 |
| 14 | Aetna 880_medicare advantage aetna outpatient 20250101 other · outpatient | $890.01 | $890.01 | $890.01 – $890.01 |
| 15 | Aetna 989_medicare advantage aetna inpatient 20251001 other · inpatient | $890.01 | $890.01 | $890.01 – $890.01 |
| 16 | UnitedHealthcare 883_medicare advantage united healthcare outpatient 20250101 other · outpatient | $890.01 | $890.01 | $890.01 – $890.01 |
| 17 | UnitedHealthcare 991_medicare advantage united healthcare inpatient 20251001 other · inpatient | $890.01 | $890.01 | $890.01 – $890.01 |
| 18 | Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $1,063 | $1,063 | $1,063 – $1,063 |
| 19 | Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 fee schedule · outpatient | $1,181 | $1,181 | $1,181 – $1,181 |
| 20 | Ambetter 876_superior ambetter outpatient 20250101 other · outpatient | $1,309 | $1,309 | $1,309 – $1,309 |
| 21 | Ambetter 985_superior ambetter inpatient 20251001 other · inpatient | $1,309 | $1,309 | $1,309 – $1,309 |
Last updated: Jan 1, 2026
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