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HCPCS Q4125

99999-1028-56 - skin substitute 12.25 cm2 Misc

Reported by 60 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$0

Average

$1.2k

Median

$153

High

$11.5k

Hospitals reporting this code

#HospitalLocation
1Porter Hospital LLCValparaiso, IN$117$211$215$537$54
2Naples HMA LLCNaples, FL$55$303$289$669$143
3Naples HMA LLCFL 34114, FL$55$303$289$669$143
4Vicksburg Healthcare LLCVicksburg, MS$1$61$89$266$96
5Naples HMA LLCNaples, FL$55$303$289$669$143
6Northwest Sahurita Hospital LLCAZ 85748, AZ$27$117$112$252$37
7Northwest Sahurita Hospital LLCAZ 85629, AZ$27$117$112$252$37
8Cocke County HMA, LLCNewport, TN$119$136$136$409$15
9Oro Valley Hospital LLCTucson, AZ$29$132$117$305$33
10Campbell County HMA, LLCLaFollette, TN$119$151$6.4k$18.9k$8.8k
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