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CPT 31237

HB Nasal/Sinus Endoscopy, Surgical; W/ Biopsy

Reported by 80 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

$3.7k

Median

$2.7k

High

$30.2k

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalIL 60190, IL$221$4.3k$4.3k$3.2k—
2Northwestern Memorial HospitalChicago, IL$598$6.7k$6.7k$3.5k—
3Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$617$2.7k$2.7k$4.6k—
4Northwestern Medicine Delnor HospitalGeneva, IL$217$3.2k$2.8k$3.2k$670
5Northwestern Lake Forest HospitalLake Forest, IL$531$1.9k$1.9k$3.2k—
6Palos Community HospitalPalos Heights, IL$512$3.6k$3.6k$3.2k—
7VHS Harper-Hutzel Hospital IncDetroit, MI$0$0$0$9.8k—
8VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$0$0$0$5.8k—
9IOM Health System LPFort Wayne, IN$129$3.0k$3.3k$45.8k$4.5k
10Bluffton Health System LLCBluffton, IN$1.7k$2.7k$2.6k$7.7k$650
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