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  3. /HCPCS
  4. /J2428
  5. /Percent of billed charges
HCPCS J2428

SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556]

Reported by 9 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

$24

Average

$39

Median

$41

High

$43

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1GRMC, Inc.Oakland, MD$24$24$2—$21$27
2Fairview Health ServicesMinneapolis, MN$42$41$13—$14$60
3Fairview Health ServicesEdina, MN$41$41$14—$14$60
4Fairview Health ServicesBurnsville, MN$41$41$14—$14$60
5HealthEast St John's HospitalMaplewood, MN$41$41$14—$14$60
6Fairview Bethesda HospitalSt. Paul, MN$40$40$11—$14$60
7Fairview Health ServicesPrinceton, MN$48$43$14—$14$65
8Fairview Health ServicesWyoming, MN$48$43$14—$14$65
9HealthEast Woodwinds HospitalWoodbury, MN$41$41$14—$14$60

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