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  5. /Case rate
HCPCS 28825

HB AMPUTATION, TOE; INTERPHALANGEAL JOINT

Reported by 27 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

Based on 4–40 billing samples across every hospital reporting.

Low

$266

Average

$5.0k

Median

$4.9k

High

$12.4k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Baystate Franklin Medical CenterGreenfield, MA$4.6k$4.6k—4–40$4.6k$4.6k
2University of Iowa Health Care Medical Center DowntownIowa City, IA$6.1k$5.8k$1.8k—$859$7.7k
3University of Iowa Health Care Medical CenterIowa City, IA$7.1k$6.8k$723—$859$7.7k
4Spring Valley Hospital Medical CenterLas Vegas, NV$2.2k$3.5k$6.0k———
5Valley Health Speciality HospitalLas Vegas, NV$2.2k$3.6k$6.2k———
6Summerlin Hospital Medical CenterLas Vegas, NV$2.2k$3.6k$6.2k———
7West Henderson HospitalHenderson, NV$2.2k$3.6k$6.2k———
8Henderson HospitalHenderson, NV$2.2k$3.6k$6.2k———
9Centennial HillsLas Vegas, NV$2.2k$3.6k$6.2k———
10The George Washington University HospitalWashington, DC$3.2k$5.0k$5.6k———
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