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EAPG 41

60574-4113-01 - palivizumab 100. 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

$372

Average

$922

Median

$642

High

$2.1k

Hospitals reporting this code

#HospitalLocation
1Durant HMA LLCDurant, OK$1.7k$2.1k$2.1k$2.6k$336
2Marshall County HMA, LLCMadill, OK$1.6k$1.9k$2.0k$2.4k$319
3Triad of Alabama LLCAL 36305, AL$323$650$650$650—
4Affinity Hospital LLCBirmingham, AL$766$766$766$766—
5Foley Hospital Company LLCFoley, AL$613$613$613$613—
6QHG of Enterprise IncEnterprise, AL$323$587$587$587—
7Gadsden Regional Medical Center LLCGadsden, AL$642$642$642$642—
8Key West HMA LLCKey West, FL$498$563$563$597—
9HMA Santa Rosa Medical Center LLCMilton, FL$326$372$372$379$3

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