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HCPCS 00454

Anesthesia for biopsy of collar bone

Reported by 14 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$38

Average

$152

Median

$175

High

$258

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.
1Northwest Medical Foundation Of TillamookTillamook, OR$48$49$2—$7$51
2Ukiah Adventist HospitalUkiah, CA$66$138$100—$38$259
3Adventist Health Medical Center TehachapiTehachapi, CA$167$159$101—$41$259
4Sonora Community HospitalSonora, CA$259$253$140—$38$518
5Adventist Health TulareTulare, CA$259$200$94—$38$259
6Reedley Community HospitalReedley, CA$259$258$131—$38$518
7San Joaquin Community HospitalBakersfield, CA$259$191$115—$41$365
8Adventist Health Mendocino CoastBragg, CA$259$218$148—$21$376
9Lodi Memorial Hospital Association IncLodi, CA$259$228$95—$38$311
10Hanford Community HospitalHanford, CA$259$213$120—$38$435
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