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HCPCS 45100

HB BIOPSY OF ANORECTAL WALL, ANAL APPROACH

Reported by 8 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

$2.9k

Average

$4.9k

Median

$4.9k

High

$6.8k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$799$4.9k$4.5k$6.2k$1.5k
2University of Iowa Health Care Medical CenterIowa City, IA$799$4.9k$5.3k$6.2k$614
3Reedley Community HospitalReedley, CA$159$6.5k$6.8k$10.2k$1.9k
4Lodi Memorial Hospital Association IncLodi, CA$169$3.7k$3.4k$7.9k$2.5k
5Willits Hospital IncWillits, CA$169$6.2k$6.5k$7.5k$604
6Tri-City Medical CenterOceanside, CA$170$6.6k$6.6k$6.6k—
7Nebraska Medical CenterOmaha, NE$1.3k$2.9k$2.9k$13.0k$780
8Bellevue Medical Center LlcBellevue, NE$1.3k$2.9k$2.9k$13.0k$780

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