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  5. /Percent of billed charges
HCPCS 43226

HB ESOPHAGOSCOPY FLEX TRANSORAL W/GUIDEWIRE DILATION

Reported by 27 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

$110

Average

$1.2k

Median

$1.1k

High

$7.3k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$804$2.3k$2.2k$6.2k$620
2University of Iowa Health Care Medical CenterIowa City, IA$804$2.3k$2.2k$6.2k$609
3Spring Valley Hospital Medical CenterLas Vegas, NV—$546$547—$41
4Valley Health Speciality HospitalLas Vegas, NV—$546$547—$41
5Summerlin Hospital Medical CenterLas Vegas, NV—$546$547—$41
6West Henderson HospitalNV 89052, NV—$546$547—$41
7Henderson HospitalHenderson, NV—$546$547—$41
8Centennial HillsLas Vegas, NV—$546$547—$41
9Northwest Texas Healthcare System, Inc.Amarillo, TX—$1.1k$1.5k—$791
10Wellington Regional Medical CenterWellington, FL—$1.4k$1.3k—$444
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