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NDC 00069-6001-10

FOSPHENYTOIN 50 MG PE/ML INJECTION (WRAPPER)

Reported by 6 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

$1

Average

$18

Median

$2

High

$100

Hospitals reporting this code

#HospitalLocation
1Johnson Memorial HospitalStafford Springs, CT$1$1$2$558$1
2Saint Alphonsus Medical Center - Baker CityBaker City, OR$3$3$3$547—
3Benefis Hospitals IncFalls, MT$1$1$2$4$1
4West Virginia University Hospitals, Inc.Morgantown, WV$0$1$1$8$0
5Princeton Community Hospital Assn Inc.Princeton, WV$1$1$1$4$1
6Bellevue Medical Center LlcBellevue, NE$1$83$100$213$43

Look up this code directly

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