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  5. /Case rate
HCPCS 25112

Removal of recurrent cyst of wrist

Reported by 6 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

$7.1k

Average

$9.9k

Median

$9.8k

High

$12.5k

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.
1Ukiah Adventist HospitalUkiah, CA$9.4k$10.7k$3.8k—$211$19.5k
2Sonora Community HospitalSonora, CA$9.2k$9.0k$3.1k—$152$12.4k
3Reedley Community HospitalReedley, CA$9.9k$12.5k$6.3k—$211$23.8k
4Lodi Memorial Hospital Association IncLodi, CA$9.0k$7.1k$5.7k—$211$16.6k
5Willits Hospital IncWillits, CA$11.5k$12.0k$925—$211$13.5k
6University Of Miami Hosp & ClinicsMiami, FL$7.7k$7.9k$1.1k—$1.6k$10.0k

Look up this code directly

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