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NDC 00074-7101-67

UNCLASSIFIED DRUGS

Reported by 19 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

Based on 2,680–3,490 billing samples across every hospital reporting.

Low

$32

Average

$68

Median

$63

High

$169

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$55$63$30519–582$30$140
2Lodi Memorial Hospital Association IncLodi, CA$165$169$79428–482$63$347
3White Memorial Medical CenterAngeles, CA$66$68$43353–425$19$288
4Northwest Medical Foundation Of TillamookTillamook, OR$39$33$9358–394$19$41
5Willits Hospital IncWillits, CA$66$57$23183–210$18$90
6Rideout Memorial HospitalMarysville, CA$55$57$9121–148$44$78
7Adventist Health Mendocino CoastBragg, CA$28$32$22128–137$14$112
8Sonora Community HospitalSonora, CA$114$114$3095–167$64$191
9Reedley Community HospitalReedley, CA$45$56$2497–106$33$107
10Glendale Adventist Medical CenterGlendale, CA$101$123$6879–115$42$423
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Look up this code directly

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