Built on federal price-transparency data · Interventional Spine
Know what every procedure is worth — in every setting.
For interventional spine, where you treat changes what you're paid. EarnestMD benchmarks your professional and facility rates against comparable practices on the same payers, and models office vs. hospital-outpatient vs. ASC economics so you can see the full value of each procedure — not a blended average.
The problem
Site of service is the whole game in interventional spine, and it's exactly where blended benchmarks fail you. The professional fee, the facility fee, and the setting all move independently — and the payer prices each one knowing the full market. You see your own contract for one setting and have no way to compare across office, HOPD, and ASC, or against the practices billing the same codes to the same plan.
- Blended numbers hide the gap. A national median for an injection code tells you nothing about your office-vs-HOPD split on a specific payer.
- Facility economics are invisible. Professional and facility fees get negotiated and benchmarked separately — or not at all.
- No leverage on the high-volume codes. Without a per-code, per-setting benchmark, the codes driving your revenue are the ones you're least sure about.
What you get
- Professional + facility, separated. Both fee components benchmarked by payer and CPT against comparable practices — not merged into one misleading number.
- Office vs. HOPD vs. ASC modeling. What each procedure is actually worth in each setting, so you (and the facility, and the health system) can see where the value sits.
- Per-code gap, ranked by dollars. Every high-volume injection and procedure code ranked by recoverable dollars.
- Internal + payer-ready report pair. The confidential math stays internal; the payer gets a sourced, sanitized market-position case.
Procedures we benchmark
- CPT 64483
- CPT 64484
- CPT 62323
- CPT 64635
- CPT 64636
In practice
A regional interventional spine practice ran a site-of-service analysis quantifying office vs. hospital-outpatient economics across professional and facility fees — showing the practice, the facility, and the combined health system what each procedure was worth in each setting.
How it works
- 1. Tell us your practice — NPIs (or group name) + the payers and codes that matter. No claims data, no contracts.
- 2. We resolve your rates — match your providers and comparable peers to payers’ federally-required published rates.
- 3. Open the workbench — your rates, benchmarked by payer, code, and site of service; every gap in dollars.
- 4. Build your ask — rank by recoverable dollars; print a board-ready report and a sanitized payer-facing proposal.
Interventional Spine FAQ
- Do you separate professional and facility fees?
- Yes — that separation is core to interventional spine, so both are benchmarked independently by payer and code.
- Can you model office vs. HOPD vs. ASC?
- Yes — site-of-service splits are a built-in part of the workbench, not an add-on.
- What do you need to start?
- Your NPIs (or group name) and the payers and codes that matter. No claims data, no contracts.
Find out what you’re leaving on the table.
Open the workbench and see your interventional spine payer gaps in minutes — the live demo needs no account.
Rate figures are derived from payers’ public price-transparency filings published under the Transparency in Coverage rule. EarnestMD is independent and not affiliated with any insurer.