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HCPCS 27613

BIOPSY SOFT TISSUE LEG/ANKLE

Reported by 13 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

$266

Average

$3.5k

Median

$3.0k

High

$6.5k

Hospitals reporting this code

#HospitalLocation
1The George Washington University HospitalWashington, DC—$1.7k$2.0k—$1.3k
2Wellington Regional Medical CenterWellington, FL—$7.9k$6.1k—$3.3k
3Temecula Valley HospitalTemecula, CA—$3.2k$3.7k—$2.3k
4Southwest HealthcareTemecula, CA—$1.3k$2.2k—$2.5k
5Castle Medical CenterKailua, HI$107$2.8k$2.8k$8.5k—
6Sonora Community HospitalSonora, CA$191$3.8k$4.1k$8.4k$1.9k
7Adventist Health DelanoDelano, CA$191$266$266$4.8k—
8Reedley Community HospitalReedley, CA$85$6.5k$6.4k$10.2k$1.8k
9Lodi Memorial Hospital Association IncLodi, CA$148$3.2k$3.1k$7.9k$2.4k
10White Memorial Medical CenterAngeles, CA$191$3.0k$3.0k$8.9k$2.2k
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