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CPT 28039

EXC FOOT/TOE TUM SC 1.5 CM/>

Reported by 358 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

$10

Average

$4.9k

Median

$4.0k

High

$30.9k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$1.6k$2.8k$2.6k$6.6k$511
2Northwest Iowa Hospital CorporationSioux City, IA$2.5k$2.9k$2.9k$7.6k$42
3Medical Ctiy ArgyleArgyle, TX$803$3.6k$3.8k$7.8k$1.9k
4Medical City AllianceSAGINAW, TX$815$3.7k$4.2k$7.8k$1.6k
5St Luke's Methodist HospitalCedar Rapids, IA$2.5k$2.7k$2.7k$7.1k$40
6Trinity Medical CenterRock Island, IL$1.6k$3.0k$2.9k$8.1k$782
7Trinity Medical CenterBettendorf, IA$2.5k$2.8k$2.9k$7.4k$523
8Unity HealthcareMuscatine, IA$1.6k$2.7k$2.7k$8.6k$675
9Trinity Regional Medical CenterFort Dodge, IA$2.4k$2.7k$2.7k$7.5k$40
10Meriter Hospital, IncMadison, WI$312$1.0k$1.7k$10.9k$1.2k
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