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HCPCS 28455

FX TARSAL BONE W/MAN EACH

Reported by 8 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

$855

Average

$2.4k

Median

$2.6k

High

$3.1k

Hospitals reporting this code

#HospitalLocation
1St. Mary's Regional Medical CenterEnid, OK—$1.2k$1.2k—$361
2Northwest Medical Foundation Of TillamookTillamook, OR$218$867$855$922$44
3UPMC LititzLititz, PA$161$2.3k$2.5k$4.8k$936
4UPMC MemorialYork, PA$161$2.7k$2.7k$5.4k$1.0k
5UPMC HanoverHanover, PA$161$3.4k$3.1k$5.4k$1.1k
6UPMC CarlisleCarlisle, PA$161$2.4k$2.6k$4.8k$954
7UPMC Pinnacle HospitalsHarrisburg, PA$161$3.7k$3.1k$4.1k$1.2k
8UPMC SomersetSomerset, PA$140$3.2k$2.8k$3.7k$666

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