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HCPCS 43252

Egd optical endomicroscopy

Reported by 203 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$163

Average

$3.5k

Median

$2.8k

High

$13.7k

Hospitals reporting this code

#HospitalLocation
1The Mount Sinai HospitalNew York, NY$432$6.3k$5.7k$9.4k$3.0k
2Aiken Regional Medical CentersWashington, DC—$822$822——
3St. Mary's Regional Medical CenterEnid, OK—$3.2k$3.2k——
4Ukiah Adventist HospitalUkiah, CA$40$167$203$599$157
5Adventist Health Medical Center TehachapiTehachapi, CA$76$178$222$599$133
6Sonora Community HospitalSonora, CA$40$150$163$599$144
7Adventist Health TulareTulare, CA$35$150$176$599$141
8Reedley Community HospitalReedley, CA$5$180$201$599$127
9San Joaquin Community HospitalBakersfield, CA$40$166$196$2.5k$140
10Adventist Health Mendocino CoastBragg, CA$21$192$247$599$177
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