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HCPCS Q5117

TRASTUZUMAB-ANNS 420 MG IV SOLR

Reported by 58 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

$24

Average

$373

Median

$70

High

$3.8k

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Delnor HospitalGeneva, IL$844$31$31$17.9k—
2Victoria of Texas LPVictoria, TX$0$103$166$923$226
3Victoria of Texas LPVictoria, TX$0$103$166$923$226
4Laredo Texas Hospital Company LPLaredo, TX$12$24$24$231$1
5Las Cruces Medical Center LLCLas Cruces, NM$42$43$44$403$0
6Ukiah Adventist HospitalUkiah, CA$56$56$65$584$18
7Sonora Community HospitalSonora, CA$56$56$63$12.4k$16
8Glendale Adventist Medical CenterGlendale, CA$25$73$372$3.6k$641
9Mid Columbia Medical CenterDalles, OR$56$57$3.8k$48.9k$10.6k
10Rideout Memorial HospitalMarysville, CA$21$61$70$3.1k$19
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