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HCPCS 45300

HB PROCTOSIGMOIDOSCOPY, RIGID; DIAGNOSTIC

Reported by 17 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

$255

Average

$3.4k

Median

$2.8k

High

$7.0k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$271$4.0k$3.7k$4.9k$979
2University of Iowa Health Care Medical CenterIowa City, IA$271$4.0k$4.3k$4.9k$447
3The George Washington University HospitalWashington, DC—$1.7k$2.0k—$1.3k
4St. Mary's Regional Medical CenterEnid, OK—$2.7k$2.7k—$1.3k
5Portland Adventist Medical CenterPortland, OR$790$7.4k$7.0k$7.5k$650
6Ukiah Adventist HospitalUkiah, CA$36$5.3k$5.4k$6.3k$688
7Adventist Health Medical Center TehachapiTehachapi, CA$36$255$255$1.5k$13
8Sonora Community HospitalSonora, CA$36$3.8k$4.1k$8.4k$2.0k
9Reedley Community HospitalReedley, CA$25$6.1k$6.3k$10.2k$1.6k
10Adventist Health Mendocino CoastBragg, CA$36$400$400$422$21
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