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  5. /Percent of billed charges
CPT 91030

PR ACID PERFUSION OF ESOPHAGUS (26)

Reported by 40 hospitals in the network under the percent of billed charges 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 percentage of total billed charges.

National pricing summary

Low

$66

Average

$4.7k

Median

$520

High

$37.0k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1The Finley HospitalDubuque, IA$224$233$92—$42$365
2Northwest Iowa Hospital CorporationSioux City, IA$63$66$26—$35$353
3University of Iowa Health Care Medical Center DowntownIowa City, IA$172$160$35—$51$730
4University of Iowa Health Care Medical CenterIowa City, IA$175$162$33—$51$730
5The Womans Hospital Of TexasHOUSTON, TX$277$343$229—$53$757
6Hca Healthone Belmar ErLAKEWOOD, CO$1.0k$1.1k$557—$358$2.1k
7Hca Healthone Southwest ErLITTLETON, CO$1.0k$1.1k$557—$358$2.1k
8Hca Healthone SwedishEnglewood, CO$1.0k$1.1k$557—$358$2.1k
9Wesley Health System LLCHattiesburg, MS$791$914$502—$10$2.1k
10Gadsden Regional Medical Center LLCGadsden, AL$1.8k$1.8k$550—$10$2.5k
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