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HCPCS D5511

REP BROKE COMP DENT BASE MAN

Reported by 6 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

$97

Average

$143

Median

$142

High

$214

Hospitals reporting this code

#HospitalLocation
1Ukiah Adventist HospitalUkiah, CA$91$101$97$505$5
2Adventist Health Medical Center TehachapiTehachapi, CA$100$130$130$685$7
3Sonora Community HospitalSonora, CA$119$159$153$354$7
4Reedley Community HospitalReedley, CA$99$110$107$676$5
5Lodi Memorial Hospital Association IncLodi, CA$62$214$214$340—
6Willits Hospital IncWillits, CA$124$155$155$407—

Look up this code directly

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