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HCPCS 63700000002

GILTERITINIB 40 MG TABLET

Reported by 20 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

$133

Average

$235

Median

$255

High

$307

Hospitals reporting this code

#HospitalLocation
1Saint Marys HospitalWaterbury, CT$64$82$133$328$79
2The Mercy Hospital IncSpringfield, MA$164$306$285$392$41
3Mount Sinai Rehabilitation Hospital, IncHartford, CT$164$328$297$328$47
4Saint Francis Hospital and Medical CenterHartford, CT$70$90$136$279$65
5Johnson Memorial HospitalStafford Springs, CT$205$328$307$328$31
6Mercy Health Hackley CampusMuskogen, MI$138$175$210$328$53
7St Joseph Mercy OaklandPontiac, MI$76$150$177$328$66
8Mercy Health Saint MarysGrand Rapids, MI$145$193$213$328$53
9Mercy Medical Center - DubuqueDubuque, IA$117$274$263$328$53
10St. Joseph's Mercy Hospital, CentervilleCenterville, IA$90$308$245$328$94
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