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HCPCS 91110

HB CAPSULE ENDOSCOPY

Reported by 27 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

$220

Average

$4.3k

Median

$3.5k

High

$15.0k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$882$4.9k$5.3k$6.2k$614
2University of Iowa Health Care Medical CenterIowa City, IA$882$4.9k$5.3k$6.2k$614
3Spring Valley Hospital Medical CenterLas Vegas, NV—$650$1.2k—$772
4Valley Health Speciality HospitalLas Vegas, NV—$647$1.2k—$824
5Summerlin Hospital Medical CenterLas Vegas, NV—$647$1.2k—$824
6West Henderson HospitalNV 89052, NV—$647$1.2k—$824
7Henderson HospitalHenderson, NV—$647$1.2k—$824
8Centennial HillsLas Vegas, NV—$647$1.2k—$824
9Northwest Texas Healthcare System, Inc.Amarillo, TX—$3.5k$3.5k——
10The George Washington University HospitalWashington, DC—$2.4k$4.3k—$2.8k
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