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HCPCS 28345

HB RECONSTRUCTION, TOE SYNDACTYLY, W OR WO SKIN GRAFT

Reported by 206 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$351

Average

$3.4k

Median

$2.3k

High

$17.6k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$544$1.5k$1.5k$7.7k$29
2University of Iowa Health Care Medical CenterIowa City, IA$544$1.5k$1.5k$7.7k$31
3The Mount Sinai HospitalNew York, NY$632$5.4k$5.1k$9.3k$2.6k
4Corona Regional Medical CenterCorona, CA$32$431$455$9.5k$54
5Ukiah Adventist HospitalUkiah, CA$66$364$374$1.2k$214
6Adventist Health Medical Center TehachapiTehachapi, CA$50$409$443$993$211
7Sonora Community HospitalSonora, CA$75$346$384$1.2k$267
8Mid Columbia Medical CenterDalles, OR$333$435$581$1.6k$356
9Adventist Health TulareTulare, CA$80$346$380$826$209
10Reedley Community HospitalReedley, CA$11$346$351$1.0k$257
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