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HCPCS 28011

Repair of multiple toe tendons

Reported by 8 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

$975

Average

$4.9k

Median

$5.0k

High

$9.8k

Hospitals reporting this code

#HospitalLocation
1Ukiah Adventist HospitalUkiah, CA$277$5.3k$5.4k$6.3k$688
2Adventist Health Medical Center TehachapiTehachapi, CA$277$1.0k$1.0k$2.6k$55
3Sonora Community HospitalSonora, CA$152$3.8k$3.9k$4.6k$482
4Reedley Community HospitalReedley, CA$150$6.9k$9.8k$23.8k$6.5k
5Adventist Health Mendocino CoastBragg, CA$277$975$975$1.0k$51
6Lodi Memorial Hospital Association IncLodi, CA$152$964$4.6k$10.8k$4.6k
7Hanford Community HospitalHanford, CA$277$5.4k$5.6k$6.5k$695
8Willits Hospital IncWillits, CA$200$7.5k$7.7k$9.5k$1.3k

Look up this code directly

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