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HCPCS 21931

HB EXC TUMOR, SOFT TISSUE BACK/FLANK, SUBCUT; 3CM OR GR

Reported by 318 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

Based on 240–1,644 billing samples across every hospital reporting.

Low

$323

Average

$3.9k

Median

$3.3k

High

$18.2k

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.
1Curators of the University of MissouriColumbia, MO$2.8k$2.9k$1.1k116–404$1.2k$5.2k
2The Cleveland Clinic FoundationCleveland, OH$1.6k$2.5k$2.1k9–90$0$10.4k
3Lodi Memorial Hospital Association IncLodi, CA$641$1.6k$2.3k8–80$152$10.8k
4Hmh Hospitals CorporationHackensack, NJ$5.5k$5.1k$3.2k8–80$1.0k$16.8k
5Northwest Medical Foundation Of TillamookTillamook, OR$1.3k$1.1k$6197–70$48$1.8k
6Hmh Hospitals CorporationPerth Amboy, NJ$5.0k$4.4k$2.6k7–70$858$10.2k
7Hmh Hospitals CorporationOld Bridge, NJ$5.0k$4.4k$2.6k7–70$858$10.2k
8Hmh Hospitals CorporationBrick, NJ$5.0k$4.7k$2.8k7–70$916$10.7k
9Hmh Hospitals CorporationRed Bank, NJ$5.1k$4.7k$2.7k6–60$910$10.7k
10Hmh Hospitals CorporationEdison, NJ$5.3k$5.1k$3.0k6–60$1.0k$11.3k
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Look up this code directly

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