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HCPCS 45331

Biopsy of lower large bowel using a flexible endoscope

Reported by 10 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$1.2k

Average

$1.5k

Median

$1.4k

High

$2.1k

Hospitals reporting this code

#HospitalLocation
1Castle Medical CenterKailua, HI$66$1.1k$1.3k$2.3k$324
2Portland Adventist Medical CenterPortland, OR$790$1.5k$2.1k$20.1k$1.5k
3Ukiah Adventist HospitalUkiah, CA$72$1.3k$1.5k$19.5k$410
4Adventist Health Medical Center TehachapiTehachapi, CA$72$1.5k$1.5k$1.5k—
5Mid Columbia Medical CenterDalles, OR$858$1.1k$1.6k$5.5k$1.2k
6Reedley Community HospitalReedley, CA$37$1.2k$1.4k$10.2k$364
7San Joaquin Community HospitalBakersfield, CA$68$1.2k$1.2k$1.2k—
8Lodi Memorial Hospital Association IncLodi, CA$47$1.2k$1.4k$7.9k$411
9Hanford Community HospitalHanford, CA$62$1.2k$1.2k$1.2k—
10White Memorial Medical CenterAngeles, CA$72$1.2k$1.3k$8.9k$409

Look up this code directly

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