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CDM 32000504

HC X-RAY UPPER GI DOUBLE CONTRAST

Reported by 30 hospitals in the network.

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.

National pricing summary

Low

$138

Average

$211

Median

$204

High

$567

Hospitals reporting this code

#HospitalLocation
1Presence Chicago Hospitals NetworkChicago, IL$107$403$567$1.4k$408
2Baylor Scott & White Medical Center - TempleTemple, TX$87$249$251$374$67
3Baylor Scott & White Medical Center - BrenhamBrenham, TX$51$228$196$374$106
4Baylor Scott & White Medical Center - TaylorTaylor, TX$80$233$213$339$91
5Baylor Scott & White Medical Center - HillcrestWaco, TX$87$249$255$454$78
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$87$118$138$337$63
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$87$273$265$381$66
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$87$249$248$353$59
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$75$123$145$386$77
10Baylor Scott & White Medical Center - PlanoPlano, TX$87$123$140$337$61
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