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HCPCS 26531

Repair of joint between hand and finger bones with prosthesis

Reported by 6 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

$320

Average

$972

Median

$1.1k

High

$1.3k

Hospitals reporting this code

#HospitalLocation
1Ukiah Adventist HospitalUkiah, CA$60$870$1.0k$2.0k$780
2Sonora Community HospitalSonora, CA$30$1.1k$1.1k$2.0k$852
3Reedley Community HospitalReedley, CA$18$1.0k$1.0k$1.8k$779
4Adventist Health Mendocino CoastBragg, CA$306$1.3k$1.3k$2.3k$974
5Hanford Community HospitalHanford, CA$35$320$320$9.3k$243
6Willits Hospital IncWillits, CA$260$1.1k$1.1k$1.9k$827

Look up this code directly

Ask Claude or any MCP client for HCPCS 26531 pricing at a specific hospital — see how to connect.

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