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HCPCS 21453

HB CLOSED TRTMT MAND FRACTURE W/INTERDENTAL FIXATION

Reported by 11 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

$1.8k

Average

$6.2k

Median

$6.0k

High

$11.4k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$1.4k$10.5k$9.2k$12.8k$3.7k
2University of Iowa Health Care Medical CenterIowa City, IA$1.4k$11.9k$11.4k$12.8k$1.2k
3Northwest Texas Healthcare System, Inc.Amarillo, TX—$2.2k$3.9k—$3.3k
4Wellington Regional Medical CenterWellington, FL—$11.8k$8.5k—$5.0k
5Palmdale Regional Medical CenterPalmdale, CA—$5.0k$6.0k—$3.3k
6Temecula Valley HospitalTemecula, CA—$8.0k$8.0k—$4.4k
7Southwest HealthcareTemecula, CA—$6.6k$5.0k—$4.1k
8Northwest Texas Healthcare SystemAmarillo, TX—$2.2k$3.9k—$3.3k
9Corona Regional Medical CenterCorona, CA$32$5.7k$6.3k$13.2k$4.1k
10St. Mary's Regional Medical CenterEnid, OK—$1.8k$1.8k——
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