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HCPCS 28505

Treat big toe fracture

Reported by 215 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

$430

Average

$5.2k

Median

$4.6k

High

$21.0k

Hospitals reporting this code

#HospitalLocation
1The Mount Sinai HospitalNew York, NY$500$5.2k$5.7k$9.4k$3.0k
2Northwest Texas Healthcare System, Inc.Amarillo, TX—$21.0k$21.0k——
3Aiken Regional Medical CentersWashington, DC—$822$822——
4Palmdale Regional Medical CenterPalmdale, CA—$447$456—$215
5Temecula Valley HospitalTemecula, CA—$385$430—$55
6Southwest HealthcareTemecula, CA—$603$576—$136
7Northwest Texas Healthcare SystemAmarillo, TX—$21.0k$21.0k——
8St. Mary's Regional Medical CenterEnid, OK—$5.5k$5.5k——
9Northwest Texas Healthcare System, Inc.Amarillo, TX—$21.0k$21.0k——
10Northwest Medical Foundation Of TillamookTillamook, OR$460$506$630$2.0k$220
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