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CPT 42802

Ambulatory Surgery Groups

Reported by 124 hospitals in the network.

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.

National pricing summary

Low

$108

Average

$3.1k

Median

$2.7k

High

$14.3k

Hospitals reporting this code

#HospitalLocation
1Northwest Iowa Hospital CorporationSioux City, IA$1.5k$1.5k$1.5k$1.5k—
2Medical Ctiy ArgyleArgyle, TX$2.1k$4.1k$4.4k$6.6k$1.9k
3Medical City AllianceSAGINAW, TX$2.1k$4.1k$4.4k$6.6k$1.9k
4University of Iowa Health Care Medical Center DowntownIowa City, IA$0$1$121$797$256
5University of Iowa Health Care Medical CenterIowa City, IA$0$1$108$797$245
6Medical City MckinneyMcKinney, TX$2.2k$4.1k$4.4k$6.6k$1.8k
7Medical City Las ColinasIrving, TX$2.1k$4.1k$4.4k$6.6k$1.9k
8Med City Heart HospitalDallas, TX$2.8k$6.6k$5.3k$6.6k$1.3k
9Medical City DentonArgyle, TX$2.1k$4.1k$4.4k$6.6k$1.9k
10Med City Spine HospitalDALLAS, TX$2.8k$6.6k$5.3k$6.6k$1.3k
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