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CDM 95764

HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION

Reported by 31 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

$16

Average

$92

Median

$21

High

$482

Hospitals reporting this code

#HospitalLocation
1IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$0$17$16$25$5
2IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$0$20$19$25$5
3IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$0$20$19$28$5
4IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$0$19$213$454$203
5IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$0$20$18$25$5
6Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$19$33$457$1.6k$617
7Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$11$35$36$69$16
8IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$0$18$17$20$4
9St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$14$34$30$39$7
10IHC Health Services Inc., DBA Intermountain Health American Fork HospitalAmerican Fork, UT$1$25$393$1.1k$402
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