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HCPCS 35206

HB REPAIR BLOOD VESSEL, DIRECT; UPPER EXTREMITY

Reported by 17 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

$5.6k

Average

$7.5k

Median

$6.3k

High

$14.5k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$1.6k$7.9k$7.7k$10.2k$2.3k
2University of Iowa Health Care Medical CenterIowa City, IA$1.6k$9.5k$9.1k$10.2k$1.0k
3McAllen Hospitals, LPMcAllen, TX—$6.3k$5.8k—$1.2k
4McAllen Hospitals, LPEdinburg, TX—$6.3k$5.8k—$1.2k
5McAllen Hospitals, LPMcAllen, TX—$6.3k$5.8k—$1.2k
6McAllen Hospitals, LPEdinburg, TX—$6.3k$5.8k—$1.2k
7Northwest Texas Healthcare System, Inc.Amarillo, TX—$6.3k$6.3k——
8Palmdale Regional Medical CenterPalmdale, CA—$6.4k$6.3k—$2.4k
9Temecula Valley HospitalTemecula, CA—$10.3k$8.7k—$4.2k
10Southwest HealthcareTemecula, CA—$5.6k$5.6k—$4.9k
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