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HCPCS 43275

HB ERCP REMOVAL FOREIGN BODY/STENT BILIARY/PANCREATIC DUCT

Reported by 28 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

$2.2k

Average

$5.3k

Median

$5.4k

High

$10.9k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$1.8k$4.9k$4.8k$6.8k$961
2University of Iowa Health Care Medical CenterIowa City, IA$1.8k$4.9k$5.3k$6.8k$614
3Spring Valley Hospital Medical CenterLas Vegas, NV—$3.2k$5.8k—$11.2k
4Valley Health Speciality HospitalLas Vegas, NV—$3.4k$6.1k—$11.5k
5Summerlin Hospital Medical CenterLas Vegas, NV—$3.4k$6.1k—$11.5k
6West Henderson HospitalNV 89052, NV—$3.4k$6.1k—$11.5k
7Henderson HospitalHenderson, NV—$3.4k$6.1k—$11.5k
8Centennial HillsLas Vegas, NV—$3.4k$6.1k—$11.5k
9McAllen Hospitals, LPMcAllen, TX—$6.8k$5.5k—$2.4k
10McAllen Hospitals, LPEdinburg, TX—$6.8k$5.5k—$2.4k
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