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HCPCS 43263

HB ERCP W/ PRESSURE MEASUREMENT OF SPHINCTER OF ODDI

Reported by 9 hospitals in the network under the percent of billed charges 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 percentage of total billed charges.

National pricing summary

Low

$300

Average

$3.0k

Median

$1.2k

High

$8.0k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$1.8k$6.1k$5.9k$8.0k$1.7k
2University of Iowa Health Care Medical CenterIowa City, IA$1.8k$6.1k$5.9k$8.0k$1.6k
3Ukiah Adventist HospitalUkiah, CA$50$10.0k$8.0k$19.5k$3.7k
4Sonora Community HospitalSonora, CA$20$1.0k$1.0k$1.1k$22
5Reedley Community HospitalReedley, CA$10$960$960$1.1k—
6San Joaquin Community HospitalBakersfield, CA$267$2.5k$2.7k$13.0k$609
7Adventist Health Mendocino CoastBragg, CA$20$1.2k$1.2k$1.2k—
8Hanford Community HospitalHanford, CA$267$300$300$2.5k—
9Willits Hospital IncWillits, CA$20$1.0k$1.0k$1.1k—

Look up this code directly

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