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HCPCS 43245

Dilation of stomach outlet using a flexible endoscope

Reported by 8 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$2.5k

Average

$3.0k

Median

$2.9k

High

$4.4k

Hospitals reporting this code

#HospitalLocation
1Castle Medical CenterKailua, HI$176$2.3k$3.4k$8.0k$2.3k
2Portland Adventist Medical CenterPortland, OR$1.5k$3.1k$4.4k$20.1k$2.8k
3Glendale Adventist Medical CenterGlendale, CA$35$2.5k$2.5k$2.5k—
4Rideout Memorial HospitalMarysville, CA$242$2.5k$2.9k$10.8k$790
5Reedley Community HospitalReedley, CA$89$2.5k$2.9k$10.2k$750
6San Joaquin Community HospitalBakersfield, CA$35$2.5k$2.5k$2.5k—
7Lodi Memorial Hospital Association IncLodi, CA$112$2.5k$3.0k$16.2k$848
8Hanford Community HospitalHanford, CA$148$2.5k$2.5k$2.5k—

Look up this code directly

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