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CPT 28406

PRQ SKEL FIX CLCNL FX W/MNPJ

Reported by 20 hospitals in the network under the per diem 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 per diem rate paid per day of care.

National pricing summary

Low

$365

Average

$2.1k

Median

$365

High

$21.5k

Hospitals reporting this code

#HospitalLocation
1Meriter Hospital, IncMadison, WI$6.0k$21.9k$21.5k$26.2k$4.8k
2Tristar Centennial Medical CenterSPRING HILL, TN$870$2.0k$2.0k$4.4k$186
3Tristar Summit Medical CenterMT JULIET, TN$870$2.1k$2.0k$5.0k$218
4Tristar Ashland City Medical CenterAshland City, TN$870$1.5k$1.5k$4.4k$167
5Tristar Horizon Medical CenterDICKSON, TN$870$2.2k$2.1k$4.5k$250
6Tristar Hendersonville Medical CenterHENDERSONVILLE, TN$870$2.3k$2.2k$5.4k$315
7Tristar Skyline Medical CenterNASHVILLE, TN$870$2.0k$1.9k$4.9k$154
8Tristar Southern Hills Medical CenterANTIOCH, TN$870$2.3k$2.2k$6.3k$327
9Tristar Stonecrest Medical CenterSmyrna, TN$870$1.9k$1.9k$7.4k$124
10Methodist Hospital AtascosaJourdanton, TX$365$365$365$365—
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