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CPT 31238

HB Nasal/Sinus Endoscopy Surg

Reported by 70 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

$3.8k

Median

$2.9k

High

$11.7k

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalIL 60190, IL$750$2.4k$2.4k$5.2k—
2Northwestern Memorial HospitalChicago, IL$980$7.3k$7.3k$5.2k—
3Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$1.0k$2.7k$2.7k$9.1k—
4Northwestern Medicine Delnor HospitalGeneva, IL$854$3.1k$2.6k$5.2k$640
5Northwestern Lake Forest HospitalLake Forest, IL$870$4.2k$4.2k$5.2k—
6VHS Harper-Hutzel Hospital IncDetroit, MI$0$0$0$5.8k—
7VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$0$0$0$5.8k—
8IOM Health System LPFort Wayne, IN$135$2.7k$3.9k$41.0k$7.0k
9Bluffton Health System LLCBluffton, IN$1.7k$2.7k$2.6k$7.7k$650
10Dukes Health System LLCPeru, IN$85$147$144$459$26
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