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HCPCS 10036

PLACE SOFT TIS DEV ADDL LESION

Reported by 13 hospitals in the network under the case rate 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 flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$887

Average

$5.4k

Median

$5.8k

High

$9.5k

Hospitals reporting this code

#HospitalLocation
1The George Washington University HospitalWashington, DC—$636$1.1k—$844
2Temecula Valley HospitalTemecula, CA—$1.8k$1.9k—$1.4k
3Southwest HealthcareTemecula, CA—$432$887—$1.0k
4Corona Regional Medical CenterCorona, CA$32$770$1.3k$2.8k$974
5Adventist Health TulareTulare, CA$36$5.1k$5.8k$10.2k$2.8k
6Reedley Community HospitalReedley, CA$36$6.1k$6.8k$10.2k$1.8k
7San Joaquin Community HospitalBakersfield, CA$36$5.2k$5.6k$8.7k$1.7k
8Hanford Community HospitalHanford, CA$36$6.2k$6.6k$10.2k$1.9k
9UPMC LititzLititz, PA$37$9.5k$9.5k$9.5k—
10UPMC MemorialYork, PA$37$9.5k$9.5k$9.5k—
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