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  5. /Case rate
HCPCS 25270

HB REPAIR EXTENSOR TENDON, FOREARM AND/OR WRIST

Reported by 15 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

$3.9k

Average

$6.2k

Median

$5.6k

High

$12.7k

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$7.9k$7.7k$2.3k—$1.6k$10.2k
2University of Iowa Health Care Medical CenterIowa City, IA$9.5k$9.1k$1.0k—$1.6k$10.2k
3Spring Valley Hospital Medical CenterLas Vegas, NV$2.9k$3.9k$5.5k———
4Valley Health Speciality HospitalLas Vegas, NV$2.7k$3.9k$5.7k———
5Summerlin Hospital Medical CenterLas Vegas, NV$2.7k$3.9k$5.7k———
6West Henderson HospitalHenderson, NV$2.7k$3.9k$5.7k———
7Henderson HospitalHenderson, NV$2.7k$3.9k$5.7k———
8Centennial HillsLas Vegas, NV$2.7k$3.9k$5.7k———
9The George Washington University HospitalWashington, DC$4.5k$7.2k$7.5k———
10Southwest HealthcareTemecula, CA$5.6k$5.6k$5.0k———
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