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CPT 28490

PR CLOSED RX BIG TOE FRACTURE (BILAT)

Reported by 323 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$57

Average

$772

Median

$346

High

$3.3k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$106$252$259$3.5k$121
2Northwest Iowa Hospital CorporationSioux City, IA$114$252$267$648$143
3St Luke'sJones Regional Medical CenterAnamosa, IA$117$252$229$382$99
4Medical Ctiy ArgyleArgyle, TX$78$428$319$4.3k$220
5Medical City AllianceSAGINAW, TX$79$428$323$4.3k$219
6St Luke's Methodist HospitalCedar Rapids, IA$117$252$266$597$133
7Trinity Medical CenterRock Island, IL$117$255$253$3.5k$146
8Trinity Medical CenterBettendorf, IA$117$252$262$616$143
9University of Iowa Health Care Medical Center DowntownIowa City, IA$0$346$354$970$237
10Unity HealthcareMuscatine, IA$117$252$263$3.5k$154
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