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HCPCS 63700000002

GILTERITINIB 40 MG TABLET

Reported by 20 hospitals in the network under the percent of billed charges 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 negotiated percentage 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$284$392$40
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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