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HCPCS 43243

HB GASTROSCOPY/PANENDO W/INJECTION SCLEROTHERAPY

Reported by 10 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

$199

Average

$830

Median

$747

High

$1.6k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$571$1.6k$1.6k$6.2k$440
2University of Iowa Health Care Medical CenterIowa City, IA$571$1.6k$1.6k$6.2k$432
3Northwest Medical Foundation Of TillamookTillamook, OR$204$964$952$1.0k$49
4Ukiah Adventist HospitalUkiah, CA$15$638$624$717$82
5Sonora Community HospitalSonora, CA$20$687$697$717$14
6Reedley Community HospitalReedley, CA$7$498$496$10.2k$105
7Adventist Health Mendocino CoastBragg, CA$20$797$797$797—
8Lodi Memorial Hospital Association IncLodi, CA$152$556$936$16.2k$861
9Hanford Community HospitalHanford, CA$15$199$199$2.5k—
10Willits Hospital IncWillits, CA$35$598$491$10.5k$208

Look up this code directly

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