Additional spinal fusion level, posterior approach at Holy Cross Hospital-Silver Spring

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR Arthrodesis Post/Posterolateral Tech Sgl Interspace Each Addl Interspace|ASSISTANT AT SURGERY SERVICE

Silver Spring, MD

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How this price compares nationally

Holy Cross Hospital-Silver Spring’s median price of $136 is 93% below the median hospital's median price ($1.9k), higher than 2% of the 1,488 hospitals reporting CPT 22614. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 22614 at Holy Cross Hospital-Silver Spring

Negotiated rates from the hospital’s own file: 34 payers, 45 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 · both	$60	$60	—	—	—	$60 – $60
2	Humana tricare professional · fee schedule · both	$65	$65	—	—	—	$65 – $65
3	Tricare tricare professional · fee schedule · both	$65	$65	—	—	—	$65 – $65
4	Aetna aetna professional · fee schedule · both	$93	$93	—	—	—	$93 – $93
5	Aetna aetna medicare advantage professional · fee schedule · inpatient	$180	$180	$137	76%	—	$43 – $317
6	Humana tricare professional · fee schedule · inpatient	$196	$196	$149	76%	—	$47 – $346
7	Tricare tricare professional · fee schedule · inpatient	$196	$196	$149	76%	—	$47 – $346
8	Aetna aetna medicare advantage professional · fee schedule · outpatient	$217	$217	$157	72%	—	$60 – $373
9	Humana tricare professional · fee schedule · outpatient	$236	$236	$171	72%	—	$65 – $407
10	Tricare tricare professional · fee schedule · outpatient	$236	$236	$171	72%	—	$65 – $407
11	Aetna aetna professional · fee schedule · inpatient	$281	$281	$213	76%	—	$67 – $494
12	Aetna aetna professional · fee schedule · outpatient	$337	$337	$244	72%	—	$93 – $581
13	Aetna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$136	$373	$335	90%	—	$136 – $847
14	Ambetter pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$136	$373	$335	90%	—	$136 – $847
15	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$136	$373	$335	90%	—	$136 – $847
16	Anthem pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$136	$373	$335	90%	—	$136 – $847
17	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$136	$373	$335	90%	—	$136 – $847
18	Carefirst pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$136	$373	$335	90%	—	$136 – $847
19	Caresource pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$136	$373	$335	90%	—	$136 – $847
20	Cigna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$136	$373	$335	90%	—	$136 – $847
21	Clover pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$136	$373	$335	90%	—	$136 – $847
22	Devoted pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$136	$373	$335	90%	—	$136 – $847
23	Excellus pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$136	$373	$335	90%	—	$136 – $847
24	First Health pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$136	$373	$335	90%	—	$136 – $847
25	Highmark pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$136	$373	$335	90%	—	$136 – $847

Page 1 of 2 · 45 rates

Last updated: Mar 31, 2026

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