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CPT 28531

PR OPEN RX SESAMOID BONE FX

Reported by 16 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

$411

Average

$12.1k

Median

$1.4k

High

$37.0k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$169$1.5k$1.5k$1.9k$484
2Northwest Iowa Hospital CorporationSioux City, IA$169$411$411$572$137
3University of Iowa Health Care Medical Center DowntownIowa City, IA$0$180$570$2.9k$595
4Meriter Hospital, IncMadison, WI$172$1.0k$1.4k$3.4k$871
5University of Iowa Health Care Medical CenterIowa City, IA$0$180$570$12.6k$595
6Northwestern Memorial HospitalChicago, IL$3.6k$6.1k$6.1k$8.5k$2.5k
7Virginia Mason Medical CenterSeattle, WA$9.9k$11.6k$11.4k$13.2k$1.1k
8Vanderbilt Wilson County HospitalLebanon, TN$114$721$760$1.2k$116
9Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$114$721$760$1.2k$116
10Vanderbilt University Medical CenterNashville, TN$114$721$760$1.2k$116
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