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CPT 28043

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

$3.7k

Median

$3.0k

High

$27.4k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$1.2k$1.6k$1.7k$3.7k$452
2Northwest Iowa Hospital CorporationSioux City, IA$1.4k$1.7k$1.7k$4.3k$118
3Medical Ctiy ArgyleArgyle, TX$479$2.7k$2.8k$4.9k$1.1k
4Medical City AllianceSAGINAW, TX$486$2.8k$3.0k$4.9k$866
5St Luke's Methodist HospitalCedar Rapids, IA$1.4k$1.6k$1.6k$4.0k$23
6Trinity Medical CenterRock Island, IL$1.2k$1.7k$1.7k$4.6k$347
7Trinity Medical CenterBettendorf, IA$1.4k$1.6k$1.7k$4.2k$296
8Unity HealthcareMuscatine, IA$1.2k$1.5k$1.6k$4.9k$301
9Trinity Regional Medical CenterFort Dodge, IA$1.4k$1.5k$1.5k$4.3k$22
10Meriter Hospital, IncMadison, WI$230$814$1.2k$5.2k$897
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