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EAPG 391

57894-0640-11 - guselkumab 100 mg/mL Soln

Reported by 9 hospitals in the network under the other methodology.

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.

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$14

Average

$59

Median

$42

High

$150

Hospitals reporting this code

#HospitalLocation
1Durant HMA LLCDurant, OK$150$150$150$150—
2Marshall County HMA, LLCMadill, OK$132$132$132$132—
3Triad of Alabama LLCAL 36305, AL$12$42$42$42—
4Affinity Hospital LLCBirmingham, AL$50$50$50$50—
5Foley Hospital Company LLCFoley, AL$40$40$40$40—
6QHG of Enterprise IncEnterprise, AL$12$38$38$38—
7Gadsden Regional Medical Center LLCGadsden, AL$42$42$42$42—
8Key West HMA LLCKey West, FL$19$21$21$22—
9HMA Santa Rosa Medical Center LLCMilton, FL$12$14$14$14$0

Look up this code directly

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