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HCPCS 25800000002

DEXTROSE 10 % IV BOLUS

Reported by 49 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

$18

Average

$109

Median

$86

High

$503

Hospitals reporting this code

#HospitalLocation
1Saint Marys HospitalWaterbury, CT$6$23$70$312$80
2The Mercy Hospital IncSpringfield, MA$5$31$59$392$55
3Mount Sinai Rehabilitation Hospital, IncHartford, CT$6$122$94$135$50
4Saint Alphonsus Regional Medical Center - BoiseBoise, ID$12$140$173$720$155
5Saint Francis Hospital and Medical CenterHartford, CT$6$74$85$367$90
6Saint Alphonsus Medical Center - NampaNampa, ID$10$160$193$468$121
7Saint Alphonsus Medical Center - OntarioOntario, OR$3$68$87$504$96
8Johnson Memorial HospitalStafford Springs, CT$12$187$140$250$94
9Saint Alphonsus Medical Center - Baker CityBaker City, OR$14$99$126$470$113
10Mercy Health Lakeshore CampusShelby, MI$9$106$127$266$87
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