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CPT 28405

HC CL TX CALCANEAL FX W MANIP

Reported by 325 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

$2.9k

Median

$2.7k

High

$19.7k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$195$241$2.1k$8.8k$3.2k
2Northwest Iowa Hospital CorporationSioux City, IA$138$245$488$2.0k$603
3Medical Ctiy ArgyleArgyle, TX$84$2.4k$2.5k$4.9k$1.0k
4Medical City AllianceSAGINAW, TX$85$2.6k$2.7k$4.9k$834
5St Luke's Methodist HospitalCedar Rapids, IA$211$230$230$1.2k$3
6Trinity Medical CenterRock Island, IL$187$263$644$2.0k$720
7Trinity Medical CenterBettendorf, IA$206$232$247$616$44
8Unity HealthcareMuscatine, IA$207$232$599$2.0k$712
9Trinity Regional Medical CenterFort Dodge, IA$204$229$229$630$3
10Meriter Hospital, IncMadison, WI$217$1.3k$970$3.9k$486
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