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HCPCS 28122

HB PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS

Reported by 18 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

$6.3k

Median

$6.1k

High

$12.5k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$1.4k$6.1k$5.9k$7.7k$1.6k
2University of Iowa Health Care Medical CenterIowa City, IA$1.4k$7.1k$6.8k$7.7k$723
3Spring Valley Hospital Medical CenterLas Vegas, NV—$2.4k$4.5k—$9.9k
4Valley Health Speciality HospitalLas Vegas, NV—$2.3k$4.6k—$10.1k
5Summerlin Hospital Medical CenterLas Vegas, NV—$2.3k$4.6k—$10.1k
6West Henderson HospitalNV 89052, NV—$2.3k$4.6k—$10.1k
7Henderson HospitalHenderson, NV—$2.3k$4.6k—$10.1k
8Centennial HillsLas Vegas, NV—$2.3k$4.6k—$10.1k
9Wellington Regional Medical CenterWellington, FL—$10.6k$7.9k—$4.6k
10Corona Regional Medical CenterCorona, CA$32$5.7k$5.2k$7.7k$2.6k
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