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  4. /1017T
HCPCS 1017T

Elec aly npgs esoph sbsq w/o

Reported by 165 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

$33

Average

$84

Median

$81

High

$165

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 Mount Sinai HospitalNew York, NY$74$74——$74$74
2Gundersen Luthern Medical Center IncLa Crosse, WI$63$63——$63$63
3Wellstar Mcg Health, Affiliated With Med ColAugusta, GA$72$84$38—$52$188
4Wellstar Kennestone HospitalMarietta, GA$105$109$55—$60$225
5Wellstar West Georgia Medical CenterLagrange, GA$100$107$53—$58$226
6Wellstar Cobb HospitalAustell, GA$105$116$65—$60$234
7Wellstar North Fulton HospitalRoswell, GA$105$110$56—$60$228
8Wellstar Spalding Regional HospitalGriffin, GA$102$108$53—$59$226
9Wellstar Douglas HospitalDouglasville, GA$105$109$55—$59$226
10Wellstar Paulding HospitalHiram, GA$105$109$55—$60$225
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