Here's what CMS pays for 10 gastroenterology procedures - Becker's ASC Review

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Written by Eric Oliver | November 28, 2018 | Print  |

CMS released a procedure price lookup tool to provide consumers a view of what common procedures cost in ASCs and hospital outpatient departments.

The tool shows how much a patient pays both with Medicare and without a supplement (Medigap) policy.

Here's the average total cost for 10 common gastroenterology procedures:

1. Colonoscopy, flexible; with biopsy, single or multiple (45380)
ASC: $488
HOPD: $936

2. Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique (45385)
ASC: $488
HOPD: $936

3. Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) (45378)
ASC: $370
HOPD: $710

3. Cancer screening of the colon (large bowel) using an endoscope (colonoscopy) for high-risk individuals (G0105)
ASC: $370
HOPD: $710

4. Colonoscopy, flexible; with endoscopic mucosal resection (45390)
ASC: $488
HOPD: $936

5. Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
ASC: $370
HOPD: $710

6. Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique (45338)
ASC: $488
HOPD: $936

7. Ultrasound examination of esophagus, stomach and/or upper small bowel using an endoscope (43259)
ASC: $627
HOPD: $1,427

8. Diagnostic examination of esophagus, stomach and/or upper small bowel using an endoscope (43235)
ASC: $387
HOPD: $743

9. Biopsy of the esophagus, stomach and/or upper small bowel using an endoscope (43239)
ASC: $387
HOPD: $743

10. Control of bleeding of esophagus, stomach and/or upper small bowel using an endoscope (43255)
ASC: $627
HOPD: $1,427

To access the procedure price lookup tool, click here.

More articles on gastroenterology:
USPI makes pair of leadership appointments & more — 5 ASC company key notes
How Andrews Institute Ambulatory Surgery Center cut flash sterilization episodes from 2.4K to 0
Orthopedic Associates of Hartford invested $30M in a new ASC — Drs. Pietro Memmo & Andrew Caputo explain why

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