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CPT 28630

TREAT TOE DISLOCATION at Bullhead City Hospital Corporation

AZ 86442, AZ

Pricing by billing methodology

Price type

All methodologies

$291

Aggregated across all available billing methodologies for this code.

Case rate

Not reported

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

$282

Reflects negotiated fee schedule rates with commercial payers.

Per diem

$705

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

$12.5k

Reflects a negotiated percentage of total billed charges.

Other

$223

Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Apr 1, 2026

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