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HCPCS 43227

HB ESOPHAGOSCOPY W/CONTROL OF BLEEDING

Reported by 8 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

$140

Average

$852

Median

$481

High

$2.1k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$785$2.2k$2.1k$6.2k$605
2University of Iowa Health Care Medical CenterIowa City, IA$785$2.2k$2.1k$6.2k$594
3Ukiah Adventist HospitalUkiah, CA$66$446$437$643$57
4Sonora Community HospitalSonora, CA$20$481$488$643$10
5Reedley Community HospitalReedley, CA$5$446$446$643—
6Adventist Health Mendocino CoastBragg, CA$147$558$558$643—
7Hanford Community HospitalHanford, CA$20$140$140$2.5k—
8Willits Hospital IncWillits, CA$147$474$474$643—

Look up this code directly

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