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HCPCS 43246

HB GASTROSCOPY/PANENDO W/PEG PLACEMENT

Reported by 18 hospitals in the network under the case rate 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 flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$1.3k

Average

$4.3k

Median

$3.4k

High

$9.3k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$1.5k$4.9k$4.7k$6.2k$1.1k
2University of Iowa Health Care Medical CenterIowa City, IA$1.5k$4.9k$5.3k$6.2k$614
3Northwest Texas Healthcare System, Inc.Amarillo, TX—$763$1.3k—$1.1k
4The George Washington University HospitalWashington, DC—$2.6k$2.9k—$2.2k
5Temecula Valley HospitalTemecula, CA—$5.3k$5.4k—$2.9k
6Northwest Texas Healthcare SystemAmarillo, TX—$763$1.3k—$1.1k
7Corona Regional Medical CenterCorona, CA$32$5.0k$3.8k$6.3k$1.9k
8St. Mary's Regional Medical CenterEnid, OK—$1.6k$1.6k——
9Northwest Texas Healthcare System, Inc.Amarillo, TX—$763$1.3k—$1.1k
10Portland Adventist Medical CenterPortland, OR$1.5k$5.5k$7.0k$20.1k$5.4k
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