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
PR Arthrds Ant I-B Tech Incl Minimal Discectomy to Prepare Interspace Lumb|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES
Silver Spring, MD
See all hospitals reporting CPT 22558 →Price type
Holy Cross Hospital-Silver Spring’s median price of $537 is 94% below the median hospital's median price ($9.3k), higher than 1% of the 1,506 hospitals reporting CPT 22558. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 34 payers, 111 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 | Aetna aetna medicare advantage professional · fee schedule · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 2 | Aetna aetna professional · fee schedule · outpatient | $184 | $184 | — | — | — | $184 – $184 |
| 3 | Humana tricare professional · fee schedule · outpatient | $129 | $354 | $319 | 90% | — | $129 – $805 |
| 4 | Tricare tricare professional · fee schedule · outpatient | $129 | $354 | $319 | 90% | — | $129 – $805 |
| 5 | Aetna aetna medicare advantage professional · fee schedule · both | $446 | $446 | $323 | 72% | — | $123 – $769 |
| 6 | Humana tricare professional · fee schedule · both | $467 | $467 | $338 | 72% | — | $129 – $805 |
| 7 | Tricare tricare professional · fee schedule · both | $467 | $467 | $338 | 72% | — | $129 – $805 |
| 8 | Humana tricare professional · fee schedule · inpatient | $684 | $528 | $311 | 59% | — | $93 – $805 |
| 9 | Tricare tricare professional · fee schedule · inpatient | $684 | $528 | $311 | 59% | — | $93 – $805 |
| 10 | Aetna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $537 | $537 | — | — | — | $537 – $537 |
| 11 | Ambetter pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $537 | $537 | — | — | — | $537 – $537 |
| 12 | Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $537 | $537 | — | — | — | $537 – $537 |
| 13 | Anthem pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $537 | $537 | — | — | — | $537 – $537 |
| 14 | Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $537 | $537 | — | — | — | $537 – $537 |
| 15 | Carefirst pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $537 | $537 | — | — | — | $537 – $537 |
| 16 | Caresource pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $537 | $537 | — | — | — | $537 – $537 |
| 17 | Cigna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $537 | $537 | — | — | — | $537 – $537 |
| 18 | Clover pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $537 | $537 | — | — | — | $537 – $537 |
| 19 | Devoted pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $537 | $537 | — | — | — | $537 – $537 |
| 20 | Excellus pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $537 | $537 | — | — | — | $537 – $537 |
| 21 | First Health pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $537 | $537 | — | — | — | $537 – $537 |
| 22 | Highmark pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $537 | $537 | — | — | — | $537 – $537 |
| 23 | Humana pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $537 | $537 | — | — | — | $537 – $537 |
| 24 | Kaiser pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $537 | $537 | — | — | — | $537 – $537 |
| 25 | Magellan pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $537 | $537 | — | — | — | $537 – $537 |
Last updated: Mar 31, 2026
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