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CPT V2628

Fabrication & fitting

Reported by 28 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

$361

Average

$669

Median

$726

High

$1.2k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$341$487$726$1.7k$441
2IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$487$497$737$1.4k$367
3IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$411$518$732$1.4k$372
4IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$414$518$716$1.4k$355
5IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$475$497$546$1.2k$155
6IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$475$520$737$1.4k$358
7Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$487$831$820$1.3k$262
8Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$482$742$765$1.3k$310
9IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$414$497$565$1.2k$195
10St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$487$692$612$718$112
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