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CPT 31256

HB Nasal/Sinus Endoscopy W/Maxillary Antrostomy

Reported by 91 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

$7.4k

Median

$6.4k

High

$25.8k

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalIL 60190, IL—$7.1k$7.1k——
2Northwestern Memorial HospitalChicago, IL$8.9k$16.3k$16.3k$9.9k—
3Northwestern Medicine Kishwaukee HospitalDeKalb, IL—$2.6k$3.1k—$789
4Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$4.6k$7.3k$7.3k$6.8k—
5Northwestern Lake Forest HospitalLake Forest, IL$5.4k$7.5k$7.5k$6.0k—
6VHS Harper-Hutzel Hospital IncDetroit, MI$0$0$0$7.2k—
7VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$0$0$0$7.2k—
8IOM Health System LPFort Wayne, IN$143$6.3k$6.6k$59.7k$8.1k
9Bluffton Health System LLCBluffton, IN$3.5k$5.6k$5.5k$16.2k$1.4k
10Dukes Health System LLCPeru, IN$86$163$155$510$28
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