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HCPCS 37238

HB PERIPHERAL VENOUS INITIAL STENT W/PTA

Reported by 41 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

$3.7k

Average

$10.3k

Median

$9.4k

High

$24.3k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$3.5k$13.8k$12.0k$25.3k$5.5k
2University of Iowa Health Care Medical CenterIowa City, IA$6.9k$15.7k$15.4k$25.3k$1.5k
3Spring Valley Hospital Medical CenterLas Vegas, NV—$2.5k$3.7k—$3.0k
4Valley Health Speciality HospitalLas Vegas, NV—$2.5k$3.8k—$3.1k
5Summerlin Hospital Medical CenterLas Vegas, NV—$2.5k$3.8k—$3.1k
6West Henderson HospitalNV 89052, NV—$2.5k$3.8k—$3.1k
7Henderson HospitalHenderson, NV—$2.5k$3.8k—$3.1k
8Centennial HillsLas Vegas, NV—$2.5k$3.8k—$3.1k
9McAllen Hospitals, LPMcAllen, TX—$5.6k$11.1k—$7.4k
10McAllen Hospitals, LPMcAllen, TX—$5.6k$11.1k—$7.4k
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