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HCPCS 43231

HB ESOPHAGOSCOPY W/ ENDOSCOPIC ULTRASOUND EXAM

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

$132

Average

$1.4k

Median

$462

High

$4.1k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$1.1k$3.0k$2.9k$6.2k$823
2University of Iowa Health Care Medical CenterIowa City, IA$1.1k$3.0k$2.9k$6.2k$808
3Portland Adventist Medical CenterPortland, OR$1.5k$4.3k$4.1k$20.1k$1.3k
4Ukiah Adventist HospitalUkiah, CA$66$422$414$659$54
5Sonora Community HospitalSonora, CA$40$455$462$659$10
6Reedley Community HospitalReedley, CA$5$422$422$659—
7Adventist Health Mendocino CoastBragg, CA$15$528$528$659—
8Hanford Community HospitalHanford, CA$35$132$132$2.5k—
9Willits Hospital IncWillits, CA$35$449$449$659—

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