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LOCAL ERX4392

LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION

Reported by 4 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

$107

Average

$112

Median

$113

High

$115

Hospitals reporting this code

#HospitalLocation
1Vanderbilt Wilson County HospitalLebanon, TN$6$119$111$167$35
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$6$119$115$167$30
3Vanderbilt University Medical CenterNashville, TN$6$111$107$167$36
4Vanderbilt Bedford HospitalShelbyville, TN$6$119$115$167$30

Look up this code directly

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