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  4. /12046
  5. /Case rate
HCPCS 12046

HB INTERMEDIATE WOUND REPAIR-NK/HANDS/FEET 20.1-30CM

Reported by 26 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

$539

Average

$3.4k

Median

$3.1k

High

$9.2k

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.
1University of Iowa Health Care Medical Center DowntownIowa City, IA$4.0k$4.0k$665—$219$4.9k
2University of Iowa Health Care Medical CenterIowa City, IA$4.0k$4.3k$447—$219$4.9k
3Northwest Texas Healthcare System, Inc.Amarillo, TX$261$539$542———
4Wellington Regional Medical CenterWellington, FL$4.5k$4.0k$1.5k———
5Palmdale Regional Medical CenterPalmdale, CA$2.8k$3.2k$1.3k———
6Temecula Valley HospitalTemecula, CA$5.3k$5.1k$3.1k———
7Southwest HealthcareTemecula, CA$1.3k$3.2k$3.5k———
8Northwest Texas Healthcare SystemAmarillo, TX$261$539$542———
9Manatee Memorial HospitalBradenton, FL$2.2k$2.4k$641———
10Corona Regional Medical CenterCorona, CA$5.0k$3.5k$2.1k—$32$5.3k
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