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CPT 31259

HB Nasal/Sinus Ndsc Tot W/Sphendt W/Sphen Tiss Rmvl

Reported by 66 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

$9.7k

Median

$7.9k

High

$25.8k

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalIL 60190, IL$425$11.7k$11.7k$695—
2Northwestern Memorial HospitalChicago, IL$5.9k$16.3k$16.3k$6.6k—
3Northwestern Medicine Kishwaukee HospitalDeKalb, IL—$3.8k$4.6k—$1.2k
4Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$6.2k$9.8k$9.8k$6.8k—
5Northwestern Medicine Delnor HospitalGeneva, IL$3.5k$11.0k$9.5k$8.8k$2.3k
6Northwestern Lake Forest HospitalLake Forest, IL$7.9k$12.6k$12.6k$8.8k—
7Palos Community HospitalPalos Heights, IL$5.3k$7.5k$7.5k$5.9k—
8VHS Harper-Hutzel Hospital IncDetroit, MI$0$0$0$644—
9VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$0$0$0$623—
10River Oaks Hospital LLCFlowood, MS$426$7.4k$7.7k$187.9k$2.3k
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