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  4. /0628T
  5. /Percent of billed charges
HCPCS 0628T

PERC INJ ALGN FLUOR LMBR EA AD

Reported by 4 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

$19.9k

Average

$26.9k

Median

$22.9k

High

$42.1k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1UPMC PresbyterianPittsburgh, PA$47.5k$42.1k$10.3k—$79$50.5k
2UPMC HamotErie, PA$18.4k$22.6k$8.9k—$79$36.7k
3UPMC EastMonroeville, PA$17.8k$19.9k$5.7k—$79$35.6k
4UPMC McKeesportMckeesport, PA$17.8k$23.2k$7.9k—$65$37.9k

Look up this code directly

Ask Claude or any MCP client for HCPCS 0628T pricing at a specific hospital — see how to connect.

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