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NDC 00065035902

CYCLOPENTOLATE-PHENYLEPHRINE 0.2-1 % OPHTH DROP

Reported by 76 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

$8

Average

$79

Median

$43

High

$308

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$29$108$110$153$32
2University of Iowa Health Care Medical CenterIowa City, IA$42$112$111$153$31
3Gundersen Luthern Medical Center IncLa Crosse, WI$28$66$59$84$17
4UPMC Magee-Womens HospitalPittsburgh, PA$9$24$28$56$11
5UPMC St MargaretPittsburgh, PA$19$34$38$85$17
6UPMC PresbyterianPittsburgh, PA$9$37$32$50$10
7UPMC Passavant - McCandlessPittsburgh, PA$12$23$28$45$11
8UPMC Horizon - GreenvilleGreenville, PA$19$30$38$64$12
9UPMC LititzLititz, PA$2$8$8$14$3
10UPMC MuncyMuncy, PA$12$51$147$2.3k$467
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