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NDC 00065035902

CYCLOPENTOLATE-PHENYLEPHRINE 0.2-1 % OPHTH DROP

Reported by 94 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

$8

Average

$84

Median

$48

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
3UPMC Magee-Womens HospitalPittsburgh, PA$9$24$28$56$11
4UPMC St MargaretPittsburgh, PA$19$34$38$85$17
5UPMC PresbyterianPittsburgh, PA$9$37$32$50$10
6UPMC Passavant - McCandlessPittsburgh, PA$12$23$28$45$11
7UPMC Horizon - GreenvilleGreenville, PA$19$30$38$64$12
8UPMC LititzLititz, PA$2$8$8$14$3
9UPMC MuncyMuncy, PA$12$51$44$2.3k$19
10UPMC MercyPittsburgh, PA$19$35$39$68$15
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