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HCPCS 74221TC

X-RAY XM ESOPHAGUS 2CNTRST

Reported by 14 hospitals in the network.

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.

National pricing summary

Low

$152

Average

$352

Median

$301

High

$788

Hospitals reporting this code

#HospitalLocation
1St Joseph’s Health Services IncHillsboro, WI$788$788$788$788—
2Memorial Hospital of BoscobelBoscobel, WI$788$788$788$788—
3Hmh Hospitals CorporationNorth Bergen, NJ$55$198$262$483$164
4Hmh Hospitals CorporationEdison, NJ$152$152$152$152—
5Hmh Hospitals CorporationHackensack, NJ$50$257$297$552$176
6Hmh Hospitals CorporationBrick, NJ$152$152$152$152—
7Hmh Hospitals CorporationRed Bank, NJ$39$209$261$483$167
8Hmh Hospitals CorporationEdison, NJ$152$512$392$512$170
9Hmh Hospitals CorporationNeptune City, NJ$143$218$335$549$176
10Hmh Hospitals CorporationHolmdel, NJ$209$346$346$483$137
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