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HCPCS 28635

CLSD TX DIS MTP TOE W/ANES

Reported by 12 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

$1.4k

Average

$2.4k

Median

$2.8k

High

$3.0k

Hospitals reporting this code

#HospitalLocation
1Spring Valley Hospital Medical CenterLas Vegas, NV—$1.7k$2.8k—$4.2k
2Valley Health Speciality HospitalLas Vegas, NV—$1.7k$2.8k—$4.3k
3Summerlin Hospital Medical CenterLas Vegas, NV—$1.7k$2.8k—$4.3k
4West Henderson HospitalHenderson, NV—$1.7k$2.8k—$4.3k
5Henderson HospitalHenderson, NV—$1.7k$2.8k—$4.3k
6Centennial HillsLas Vegas, NV—$1.7k$2.8k—$4.3k
7Northwest Texas Healthcare System, Inc.Amarillo, TX—$880$1.4k—$1.1k
8The George Washington University HospitalWashington, DC—$2.1k$2.6k—$2.3k
9Palmdale Regional Medical CenterPalmdale, CA—$2.4k$2.5k—$429
10Northwest Texas Healthcare SystemAmarillo, TX—$880$1.4k—$1.1k
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