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EAPG 464

PEMBROLIZUM 1MG INJ

Reported by 6 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

$6.3k

Average

$7.6k

Median

$7.3k

High

$10.0k

Hospitals reporting this code

#HospitalLocation
1Triad of Alabama LLCAL 36305, AL$2.0k$11.6k$10.0k$11.6k$3.6k
2Affinity Hospital LLCBirmingham, AL$2.0k$7.8k$7.8k$13.7k$5.9k
3Foley Hospital Company LLCFoley, AL$2.1k$6.5k$6.5k$11.0k$4.5k
4QHG of Enterprise IncEnterprise, AL$2.1k$6.3k$6.3k$10.5k$4.2k
5Gadsden Regional Medical Center LLCGadsden, AL$2.0k$6.7k$6.7k$11.5k$4.8k
6Key West HMA LLCKey West, FL$7.2k$8.1k$8.1k$8.6k—

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