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CPT G0500

HC Sedation Moderate Same Physician Performing a Gastrointestinal Endoscopic Service >= 5 Years Initial 15 Minutes Intra-Service Time

Reported by 23 hospitals in the network under the case rate 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 flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$160

Average

$4.7k

Median

$6.9k

High

$7.4k

Hospitals reporting this code

#HospitalLocation
1The Mercy Hospital IncSpringfield, MA$11$392$392$392—
2Mishawaka Medical CenterMishawaka, IN$140$236$236$538—
3Mount Carmel New Albany Surgical HospitalNew Albany, OH$162$632$632$632—
4Mount Carmel Grove CityGrove City, OH$162$632$632$632—
5Mount Carmel St Ann'sWesterville, OH$162$632$632$632—
6Mount Carmel EastColumbus, OH$162$632$632$632—
7Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$4.1k$4.1k$4.1k$4.1k—
8Intermountain Front Range Inc. Dba Intermountain Health Lutheran HospitalWHEAT RIDGE, CO$4.1k$4.1k$4.1k$4.1k—
9Good Samaritan Medical Center, Llc DbaLAFAYETTE, CO$4.1k$4.1k$4.1k$4.1k—
10Brighton Community Hospital Association Dba Intermountain Health Platte Valley HospitalBRIGHTON, CO$4.1k$4.1k$4.1k$4.1k—
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