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HCPCS 43250

HB GASTROSCOPY/PANENDO W/LESION REMOVAL-HOT FORCEPS/CAUTERY

Reported by 22 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

$1.5k

Average

$3.5k

Median

$3.5k

High

$6.8k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$739$4.9k$4.7k$6.2k$1.1k
2University of Iowa Health Care Medical CenterIowa City, IA$739$4.9k$5.3k$6.2k$614
3Spring Valley Hospital Medical CenterLas Vegas, NV—$2.1k$3.5k—$6.2k
4Valley Health Speciality HospitalLas Vegas, NV—$2.2k$3.6k—$6.4k
5Summerlin Hospital Medical CenterLas Vegas, NV—$2.2k$3.6k—$6.4k
6West Henderson HospitalHenderson, NV—$2.2k$3.6k—$6.4k
7Henderson HospitalHenderson, NV—$2.2k$3.6k—$6.4k
8Centennial HillsLas Vegas, NV—$2.2k$3.6k—$6.4k
9McAllen Hospitals, LPMcAllen, TX—$3.3k$2.7k—$1.2k
10McAllen Hospitals, LPEdinburg, TX—$3.3k$2.7k—$1.2k
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