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HCPCS 43201

HB ESOPHAGOSCOPY FLEX TRANSORAL W/DIRECTED SUBMUCOSAL INJ

Reported by 9 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

$88

Average

$970

Median

$309

High

$3.7k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$625$1.8k$1.7k$6.2k$482
2University of Iowa Health Care Medical CenterIowa City, IA$625$1.8k$1.7k$6.2k$473
3Portland Adventist Medical CenterPortland, OR$1.3k$3.7k$3.7k$10.7k$1.2k
4Ukiah Adventist HospitalUkiah, CA$20$282$277$452$36
5Sonora Community HospitalSonora, CA$15$304$309$452$6
6Reedley Community HospitalReedley, CA$3$282$282$452—
7Adventist Health Mendocino CoastBragg, CA$92$353$353$452—
8Hanford Community HospitalHanford, CA$35$88$88$2.5k—
9Willits Hospital IncWillits, CA$92$300$300$452—

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