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NDC 00006022761

RALTEGRAVIR POTASSIUM 400 MG PO TABS

Reported by 88 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

$0

Average

$335

Median

$44

High

$6.7k

Hospitals reporting this code

#HospitalLocation
1Northwest Iowa Hospital CorporationSioux City, IA$11$21$21$27$5
2St Luke'sJones Regional Medical CenterAnamosa, IA$213$299$378$586$131
3St Luke's Methodist HospitalCedar Rapids, IA$13$20$18$22$4
4Trinity Medical CenterRock Island, IL$11$36$51$235$34
5Trinity Medical CenterBettendorf, IA$11$36$49$97$34
6University of Iowa Health Care Medical Center DowntownIowa City, IA$721$2.7k$2.8k$3.8k$802
7Unity HealthcareMuscatine, IA$42$67$70$235$22
8University of Iowa Health Care Medical CenterIowa City, IA$1.0k$2.8k$2.8k$3.8k$774
9UPMC Magee-Womens HospitalPittsburgh, PA$37$444$502$1.0k$199
10UPMC St MargaretPittsburgh, PA$18$32$36$81$16
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