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HCPCS 43246

UPPER GI ENDO W/GASTRO TUBE450

Reported by 9 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

$2.8k

High

$4.4k

Hospitals reporting this code

#HospitalLocation
1Corona Regional Medical CenterCorona, CA$32$3.2k$3.2k$6.3k—
2Portland Adventist Medical CenterPortland, OR$1.5k$3.1k$4.4k$20.1k$2.8k
3Reedley Community HospitalReedley, CA$101$2.5k$2.9k$10.2k$750
4San Joaquin Community HospitalBakersfield, CA$178$2.5k$2.5k$2.5k—
5Lodi Memorial Hospital Association IncLodi, CA$128$2.5k$3.0k$16.2k$848
6Hanford Community HospitalHanford, CA$20$2.5k$2.5k$2.5k—
7St Helena HospitalHelena, CA$242$2.5k$2.8k$18.8k$714
8Nebraska Medical CenterOmaha, NE$573$2.3k$2.8k$5.9k$1.2k
9Bellevue Medical Center LlcBellevue, NE$573$2.3k$2.8k$5.9k$1.2k

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