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CDM 30102520

HC REF ARUP 3018999 HYDROXYCHLOROQUINE BLOOD

Reported by 30 hospitals in the network.

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.

National pricing summary

Low

$138

Average

$195

Median

$175

High

$392

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$12$201$199$518$170
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$12$126$223$518$159
3Baylor Scott & White Medical Center - TaylorTaylor, TX$12$207$239$460$144
4Baylor Scott & White Medical Center - HillcrestWaco, TX$16$190$190$431$155
5Baylor University Medical CenterDallas, TX$10$45$392$7.4k$1.3k
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$10$31$138$431$157
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$12$98$189$518$176
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$12$118$192$431$162
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$10$37$151$431$158
10Baylor Scott & White Medical Center - PlanoPlano, TX$10$45$161$431$163
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