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  5. /Percent of billed charges

NDC 00006-3539-04

INJECTION, FAMOTIDINE, 0.25 MG

Reported by 19 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

Based on 273–957 billing samples across every hospital reporting.

Low

$17

Average

$35

Median

$30

High

$76

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.
1San Joaquin Community HospitalBakersfield, CA$31$35$1052–115$0$161
2Lodi Memorial Hospital Association IncLodi, CA$60$76$3356–74$0$183
3Hanford Community HospitalHanford, CA$25$25$747–65$0$64
4Glendale Adventist Medical CenterGlendale, CA$68$69$229–90$0$297
5Willits Hospital IncWillits, CA$32$27$1217–71$0$46
6Simi Valley Hospital And Health Care ServicesValley, CA$32$31$817–62$0$60
7Rideout Memorial HospitalMarysville, CA$40$40$47–70$34$59
8Sonora Community HospitalSonora, CA$74$69$1318–54$0$129
9Northwest Medical Foundation Of TillamookTillamook, OR$34$30$86–60$17$37
10Ukiah Adventist HospitalUkiah, CA$30$27$64–40$0$38
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Look up this code directly

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