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HCPCS 43238

HB GASTROSCOPY/PANENDO W/US GUIDED FNA/BIOPSY ESOPHAGUS

Reported by 252 hospitals in the network.

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.

National pricing summary

Low

$226

Average

$3.0k

Median

$2.7k

High

$12.0k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$1.8k$4.7k$4.5k$6.6k$1.6k
2University of Iowa Health Care Medical CenterIowa City, IA$1.8k$4.8k$4.6k$6.6k$1.6k
3The Mount Sinai HospitalNew York, NY$320$4.8k$4.7k$9.3k$2.6k
4Portland Adventist Medical CenterPortland, OR$1.5k$4.3k$4.8k$20.1k$3.4k
5Ukiah Adventist HospitalUkiah, CA$20$287$283$706$181
6Adventist Health Medical Center TehachapiTehachapi, CA$15$260$268$747$143
7Sonora Community HospitalSonora, CA$15$259$322$770$262
8Adventist Health TulareTulare, CA$40$226$230$665$139
9Reedley Community HospitalReedley, CA$7$205$226$738$190
10San Joaquin Community HospitalBakersfield, CA$20$248$335$2.5k$414
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Look up this code directly

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