Here are 28 statistics on upper GI endoscopy facility fees for ambulatory surgery centers and hospital outpatient departments over the past two years, according to the American College of Gastroenterology.
Upper GI endoscopy, diagnosis (HCPCS 43235)
2012
• ASC: $341.01
• HOPD: $549.71
2013:
• ASC: $342.83
• HOPD: $610.98
Upper GI endoscopy, biopsy (HCPCS 43239)
2012
• ASC: $341.01
• HOPD: $591.71
2013:
• ASC: $342.83
• HOPD: $610.98
Upper GI endoscopy w/us fn bx (HCPCS 43242)
2012
• ASC: $511.13
• HOPD: $886.90
2013:
• ASC: $509.65
• HOPD: $908. 24
Upper GI endoscopy/ligation (HCPCS 43244)
2012
• ASC: $511.13
• HOPD: $886.90
2013:
• ASC: $509.65
• HOPD: $908.24
Operative upper GI endoscopy (HCPCS 43247)
2012
• ASC: $341.01
• HOPD: $591.71
2013:
• ASC: $342.83
• HOPD: $610.98
Upper GI endoscopy/guide wire (HCPCS 43248)
2012
• ASC: $341.01
• HOPD: $591.71
2013:
• ASC: $342.83
• HOPD: $610.98
Operative upper GI endoscopy (HCPCS 43255)
2012
• ASC: $511.13
• HOPD: $886.90
2013:
• ASC: $509.65
• HOPD: $908. 24
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ASCs vs. HOPDs: 21 Statistics on 2013 Medicare Reimbursement for Colonoscopy
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