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CPT 31238

HC NASAL ENDO W BLD CNTRL

Reported by 373 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

$10

Average

$3.7k

Median

$2.9k

High

$19.7k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$1.2k$1.7k$3.1k$8.8k$2.6k
2Northwest Iowa Hospital CorporationSioux City, IA$433$1.7k$1.7k$4.6k$98
3Medical Ctiy ArgyleArgyle, TX$518$2.8k$3.0k$4.7k$769
4Medical City AllianceSAGINAW, TX$526$2.4k$2.8k$4.7k$808
5St Luke's Methodist HospitalCedar Rapids, IA$1.5k$1.7k$1.7k$4.3k$24
6Trinity Medical CenterRock Island, IL$1.3k$1.9k$3.3k$8.8k$2.7k
7Trinity Medical CenterBettendorf, IA$1.4k$1.7k$1.8k$4.4k$315
8Unity HealthcareMuscatine, IA$1.4k$1.7k$3.0k$8.8k$2.6k
9Trinity Regional Medical CenterFort Dodge, IA$1.5k$1.6k$1.6k$4.5k$24
10Meriter Hospital, IncMadison, WI$152$991$1.2k$6.8k$1.2k
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