Table A2-5.
Percent of procedures by place of service (PoS), weights per place of service, and cost of individual procedures weighted by place of service
| CPT Code | % of procedures ASC (a) |
% of procedures OPPS (b) |
% of procedures Office (c) |
Total % (d=a+b+c) |
ASC Weight* (a/d) |
OPPS Weight* (b/d) |
Office Weight* (c/d) |
Beneficiary Weighted Cost by PoS** (B) |
Medicare Weighted Cost by PoS** (M) |
Total Weighted Cost by PoS (B+M) |
|---|---|---|---|---|---|---|---|---|---|---|
| Colonoscopy without polypectomy | ||||||||||
| 45378 | 42.8 | 40.3 | 4.2 | 87.2 | 0.49 | 0.46 | 0.05 | 171 | 502 | 673 |
| G0105 | 53.1 | 43.3 | 2.8 | 99.3 | 0.54 | 0.44 | 0.03 | 149 | 487 | 635 |
| G0121 | 51.0 | 44.5 | 3.2 | 98.7 | 0.52 | 0.45 | 0.03 | 148 | 486 | 634 |
| Colonoscopy with polypectomy | ||||||||||
| 45380 | 47.3 | 38.1 | 3.3 | 88.7 | 0.53 | 0.43 | 0.04 | 192 | 631 | 824 |
| 45381 | 46.0 | 40.8 | 2.3 | 89.1 | 0.52 | 0.46 | 0.03 | 192 | 622 | 814 |
| 45382 | 20.4 | 29.8 | 1.8 | 52.0 | 0.39 | 0.57 | 0.03 | 216 | 679 | 894 |
| 45383 | 42.3 | 46.9 | 4.5 | 93.6 | 0.45 | 0.50 | 0.05 | 211 | 684 | 895 |
| 45384 | 47.8 | 44.6 | 3.0 | 95.4 | 0.50 | 0.47 | 0.03 | 197 | 640 | 837 |
| 45385 | 48.5 | 41.5 | 3.8 | 93.7 | 0.52 | 0.44 | 0.04 | 202 | 666 | 868 |
*
Out of ASC, OPPS, and office.
**
Weighted average of costs from table 5 including pathology (if applicable) by PoS