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  5. /Percent of billed charges
HCPCS 25420

Treatment of both nonhealed broken forearm bones with self bone graft

Reported by 8 hospitals in the network under the percent of billed charges 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 percentage of total billed charges.

National pricing summary

Low

$1.0k

Average

$3.1k

Median

$3.3k

High

$4.1k

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$3.2k$3.2k$414—$66$3.6k
2Sonora Community HospitalSonora, CA$3.5k$3.5k$73—$194$3.6k
3Reedley Community HospitalReedley, CA$3.2k$3.2k——$34$3.2k
4Adventist Health Mendocino CoastBragg, CA$4.0k$4.0k——$75$4.0k
5Hanford Community HospitalHanford, CA$1.0k$1.0k——$970$9.3k
6Willits Hospital IncWillits, CA$3.4k$3.4k——$194$3.4k
7Winneshiek Medical CenterDecorah, IA$4.1k$4.1k——$20$4.1k
8Children's National HospitalWashington, DC$2.2k$2.2k$203—$1.0k$2.4k

Look up this code directly

Ask Claude or any MCP client for HCPCS 25420 pricing at a specific hospital — see how to connect.

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