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NDC 00065035902

CYCLOMYDRIL OPHTH SOLN 2ML

Reported by 15 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$6

Average

$59

Median

$39

High

$152

Hospitals reporting this code

#HospitalLocation
1Northside Hospital, Inc.Lawrenceville, GA$34$118$101$225$52
2Northside Hospital, Inc.Canton, GA$25$122$100$225$55
3Northside Hospital, Inc.Atlanta, GA$36$122$103$225$51
4Northside Hospital, Inc.Duluth, GA$28$118$98$225$54
5Northside Hospital, Inc.Cumming, GA$27$122$100$225$55
6Carolinas Medical CenterCharlotte, NC$42$13$15$175$3
7Carolinas Medical CenterCharlotte, NC$42$203$152$179$72
8The Charlotte Mecklenburg Hospital AuthorityConcord, NC$24$11$11$185$0
9The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$19$6$6$189$5
10Atrium Health Hospitals IncShelby, NC$27$39$39$185—
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