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  5. /Percent of billed charges

NDC 00054-8486-16

lactulose 20 gm/30 mL Syrup 30 mL

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 2,700–2,898 billing samples across every hospital reporting.

Low

$5

Average

$13

Median

$10

High

$42

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.
1Hanford Community HospitalHanford, CA$13$17$12912$4$76
2Northwest Medical Foundation Of TillamookTillamook, OR$8$7$2830–839$4$9
3Glendale Adventist Medical CenterGlendale, CA$9$10$3431–440$5$43
4Castle Medical CenterKailua, HI$6$5$2179–197$2$8
5Sonora Community HospitalSonora, CA$15$14$395–113$9$27
6White Memorial Medical CenterAngeles, CA$16$18$692$8$113
7Lodi Memorial Hospital Association IncLodi, CA$28$42$3450–104$7$173
8Adventist Health DelanoDelano, CA$8$17$1164$2$53
9Rideout Memorial HospitalMarysville, CA$15$15$137$13$30
10San Joaquin Community HospitalBakersfield, CA$6$6$24–40$4$15
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