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HCPCS 43233

HB GASTROSCOPY/PANENDO W/BALLOON DILATION (INCL FLUORO)

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

$191

Average

$1.9k

Median

$669

High

$9.9k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$745$2.1k$2.0k$6.2k$574
2University of Iowa Health Care Medical CenterIowa City, IA$745$2.1k$2.0k$6.2k$564
3Ukiah Adventist HospitalUkiah, CA$66$612$599$689$79
4Sonora Community HospitalSonora, CA$201$659$669$689$14
5Rideout Memorial HospitalMarysville, CA$201$10.2k$9.9k$19.5k$1.1k
6Reedley Community HospitalReedley, CA$7$612$612$626—
7Adventist Health Mendocino CoastBragg, CA$21$765$765$765—
8Hanford Community HospitalHanford, CA$35$191$191$2.5k—
9Willits Hospital IncWillits, CA$201$650$650$653—

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