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HCPCS 42550

HB INJECTION PROCEDURE FOR SIALOGRAPHY

Reported by 43 hospitals in the network under the percent of billed charges 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 percentage of total billed charges.

National pricing summary

Low

$100

Average

$590

Median

$517

High

$2.1k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$205$811$792$3.7k$241
2University of Iowa Health Care Medical CenterIowa City, IA$296$829$794$3.7k$230
3Spring Valley Hospital Medical CenterLas Vegas, NV—$658$836—$477
4Valley Health Speciality HospitalLas Vegas, NV—$658$836—$477
5Summerlin Hospital Medical CenterLas Vegas, NV—$658$836—$477
6West Henderson HospitalNV 89052, NV—$658$836—$477
7Henderson HospitalHenderson, NV—$658$836—$477
8Centennial HillsLas Vegas, NV—$658$836—$477
9Northwest Texas Healthcare System, Inc.Amarillo, TX—$553$728—$407
10The George Washington University HospitalWashington, DC—$92$100—$40
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