Home
Beckers ASC Review: Business and Legal Issues - Hot Topics
RSS icon
Hospital Review: Business and Legal Issues - Hot Topics
RSS icon
Average Charge and Payment Data for 9 Upper-GI Procedures Commonly Performed in ASCs Print E-mail
Written by Stephanie Wasek   
Friday, 22 August 2008
Here is the average 2007 Medicare sub charge (submitted charges divided by allowed services), average allow charge (Medicare-allowed charges divided by allowed services, including co-pays and deductibles paid by patient), and average payment (Medicare payments divided by allowed services, not including co-pays and deductibles paid by patient) for nine upper-GI procedures commonly performed in ASCs.

1. Upper stomach-intestine scope, simple (CPT 43234)
- average sub charge: $817
- average allow charge $303
- average payment: $237

2. Upper stomach-intestine scope for diagnosis (CPT 43235)
- average sub charge: $1,064
- average allow charge $318
- average payment: $249

3. Stomach-intestine scope, inject intestine wall (CPT 43236)
- average sub charge: $1,218
- average allow charge $343
- average payment: $271

4. Upper stomach-intestine scope for biopsy (CPT 43239)
- average sub charge: $1,406
- average allow charge $424
- average payment: $334

5. Stomach-intestine scope ultrasound guided biopsy (CPT 43242)
- average sub charge: $1,959
- average allow charge $443
- average payment: $352

6. Stomach-intestine scope for foreign body removal (CPT 43247)
- average sub charge: $1,405
- average allow charge $421
- average payment: $331

7. Stomach-intestine scope with ultrasound exam (CPT 43259)
- average sub charge: $2,018
- average allow charge $508
- average payment: $402

8. Scope of upper small intestine (CPT 44360)
- average sub charge: $1,468
- average allow charge $433
- average payment: $343

9. Scope of upper small intestine with biopsy (CPT 44361)
- average sub charge: $1,409
- average allow charge $414
- average payment: $327

 
Contact - (800) 417-2035
Sign Up for Becker's ASC Review E-Weekly
Employment Oppertunities
Most Popular Articles
RSS icon
Upcoming Conferences
Audio Clips of Recent Conferences
Subscribe Today

© Copyright 2008 Becker's ASC Review

mDigital Design - Magazine Webdesign Solutions