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HCPCS 28810

HB AMPUTATION, METATARSAL WITH TOE, SINGLE

Reported by 7 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

$266

Average

$6.8k

Median

$6.9k

High

$11.8k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$1.4k$6.1k$5.8k$7.7k$1.8k
2University of Iowa Health Care Medical CenterIowa City, IA$1.4k$7.1k$6.8k$7.7k$723
3Sonora Community HospitalSonora, CA$363$6.8k$7.0k$8.1k$861
4Adventist Health DelanoDelano, CA$266$266$266$9.5k—
5Reedley Community HospitalReedley, CA$220$9.0k$11.8k$23.8k$6.8k
6Lodi Memorial Hospital Association IncLodi, CA$278$7.9k$6.9k$16.2k$5.3k
7Willits Hospital IncWillits, CA$293$8.5k$8.9k$10.5k$981

Look up this code directly

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