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NDC 00049-3420-30

PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS

Reported by 20 hospitals in the network.

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.

National pricing summary

Low

$47

Average

$102

Median

$92

High

$185

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.
1Sierra Vista Hospital IncObispo, CA$43$47$19—$20$115
2Dignity Community CareNorthridge, CA$70$61$25—$20$88
3Agh Laveen LlcPhoenix, AZ$102$93$48—$26$151
4Dignity Community CareLos Angeles, CA$88$86$23—$31$125
5Dignity Community CareSan Luis Obispo, CA$194$167$52—$62$223
6Dignity Community CareChandler, AZ$94$87$47—$26$155
7Dignity Community CareRedwood City, CA$124$120$82—$40$382
8Dignity HealthLas Vegas, NV$64$58$16—$31$74
9Dignity HealthRed Bluff, CA$93$101$17—$70$123
10Agh Mesa LlcMesa, AZ$102$93$48—$26$151
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