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CPT 28160

PR RESEC TOE AT I-P JT,SINGLE,EA

Reported by 43 hospitals in the network under the percent of billed charges 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 percentage of total billed charges.

National pricing summary

Low

$337

Average

$12.3k

Median

$4.7k

High

$62.4k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$247$1.2k$1.2k$1.2k—
2Northwest Iowa Hospital CorporationSioux City, IA$247$337$337$841—
3University of Iowa Health Care Medical Center DowntownIowa City, IA$0$221$698$2.7k$729
4Meriter Hospital, IncMadison, WI$251$598$808$1.6k$469
5University of Iowa Health Care Medical CenterIowa City, IA$0$221$708$2.7k$736
6IOM Health System LPFort Wayne, IN$90$364$419$976$218
7Bluffton Health System LLCBluffton, IN$88$490$527$1.1k$264
8Dukes Health System LLCPeru, IN$68$454$484$1.3k$243
9Warsaw Health System LLCWarsaw, IN$77$411$449$974$217
10Lutheran Musculoskeletal Center LLCFort Wayne, IN$87$339$1.0k$34.3k$3.6k
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