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HCPCS 28272

Incision of toe joint capsule

Reported by 7 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

$224

Average

$610

Median

$557

High

$895

Hospitals reporting this code

#HospitalLocation
1Ukiah Adventist HospitalUkiah, CA$66$716$701$806$92
2Sonora Community HospitalSonora, CA$166$771$783$806$16
3Reedley Community HospitalReedley, CA$7$559$556$23.8k$117
4Adventist Health Mendocino CoastBragg, CA$40$895$895$895—
5Lodi Memorial Hospital Association IncLodi, CA$233$537$557$16.2k$225
6Hanford Community HospitalHanford, CA$45$224$224$2.1k—
7Willits Hospital IncWillits, CA$40$671$551$9.5k$233

Look up this code directly

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