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NDC 00006-3539-04

INJECTION, FAMOTIDINE, 0.25 MG

Reported by 10 hospitals in the network under the case rate 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 flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$16

Average

$30

Median

$23

High

$56

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.
1Ukiah Adventist HospitalUkiah, CA$16$16$1—$0$38
2Adventist Health Medical Center TehachapiTehachapi, CA$52$52$3—$0$256
3Sonora Community HospitalSonora, CA$58$56$3—$0$129
4Simi Valley Hospital And Health Care ServicesValley, CA$23$22$1—$0$60
5Adventist Health TulareTulare, CA$18$18$1—$12$48
6Adventist Health Clearlake Hospital IncClearlake, CA$23$22$1—$0$34
7Hanford Community HospitalHanford, CA$19$19$1—$0$64
8White Memorial Medical CenterAngeles, CA$25$24$1—$0$194
9St Helena HospitalHelena, CA$40$39$2—$0$55
10Willits Hospital IncWillits, CA$30$30——$0$46

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