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CDM 75000133

HC ILEOSCOPY W/COLONOSCOPY & PPX

Reported by 32 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

$1.6k

Average

$3.1k

Median

$2.0k

High

$5.2k

Hospitals reporting this code

#HospitalLocation
1Vanderbilt Wilson County HospitalLebanon, TN$574$1.6k$1.6k$2.7k$487
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$632$1.5k$1.8k$2.8k$714
3Vanderbilt University Medical CenterNashville, TN$975$2.2k$2.1k$2.7k$323
4Vanderbilt Bedford HospitalShelbyville, TN$672$1.5k$1.7k$2.8k$653
5Baylor Scott & White Medical Center - TempleTemple, TX$61$5.2k$5.2k$7.4k$2.2k
6Baylor Scott & White Medical Center - BrenhamBrenham, TX$50$3.0k$3.0k$3.0k—
7Baylor Scott & White Medical Center - TaylorTaylor, TX$72$5.2k$5.2k$7.4k$2.2k
8Baylor Scott & White Medical Center - HillcrestWaco, TX$49$1.1k$2.7k$7.4k$2.8k
9Baylor University Medical CenterDallas, TX$198$2.1k$3.9k$7.4k$2.4k
10Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$186$1.9k$2.0k$2.1k$99
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Look up this code directly

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