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HCPCS 37230

HB REVASCULARIZATION, TIBIAL/PERONEAL, UNI W/STENT

Reported by 27 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

$4k

Average

$10.5k

Median

$10.0k

High

$18.5k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$4.3k$13.8k$12.3k$17.7k$5.1k
2University of Iowa Health Care Medical CenterIowa City, IA$4.3k$15.7k$15.4k$17.7k$1.5k
3Spring Valley Hospital Medical CenterLas Vegas, NV—$3.7k$5.5k—$2.7k
4Valley Health Speciality HospitalLas Vegas, NV—$5.4k$5.7k—$2.8k
5Summerlin Hospital Medical CenterLas Vegas, NV—$5.4k$5.7k—$2.8k
6West Henderson HospitalNV 89052, NV—$5.4k$5.7k—$2.8k
7Henderson HospitalHenderson, NV—$5.4k$5.7k—$2.8k
8Centennial HillsLas Vegas, NV—$5.4k$5.7k—$2.8k
9McAllen Hospitals, LPMcAllen, TX—$9.4k$17.3k—$12.0k
10McAllen Hospitals, LPMcAllen, TX—$9.4k$17.3k—$12.0k
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