☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
  1. Home
  2. /Codes
  3. /HCPCS
  4. /45999
  5. /Case rate
HCPCS 45999

HB PROCTOSIGMOIDOSCOPY (DEFUNCTIONALIZED RECTAL STUMP) EUS W FNB

Reported by 23 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

$1.6k

Average

$4.3k

Median

$4.5k

High

$6.8k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$224$4.0k$4.3k$5.7k$447
2University of Iowa Health Care Medical CenterIowa City, IA$224$4.0k$4.3k$5.7k$447
3Spring Valley Hospital Medical CenterLas Vegas, NV—$3.1k$6.3k—$5.0k
4Valley Health Speciality HospitalLas Vegas, NV—$3.7k$6.8k—$5.1k
5Summerlin Hospital Medical CenterLas Vegas, NV—$3.7k$6.8k—$5.1k
6West Henderson HospitalHenderson, NV—$3.7k$6.8k—$5.1k
7Henderson HospitalHenderson, NV—$3.7k$6.8k—$5.1k
8Centennial HillsLas Vegas, NV—$3.7k$6.8k—$5.1k
9McAllen Hospitals, LPMcAllen, TX—$1.7k$1.6k—$335
10McAllen Hospitals, LPEdinburg, TX—$1.7k$1.6k—$335
Page 1 of 3

Look up this code directly

Ask Claude or any MCP client for HCPCS 45999 pricing at a specific hospital — see how to connect.

☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC