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NDC 00085720601

Mometasone Furoate-Formoterol Fumarate Aerosol 100-5 MCG/ACT

Reported by 51 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

$279

Average

$630

Median

$383

High

$2.0k

Hospitals reporting this code

#HospitalLocation
1Sanford Canby Medical CenterCanby, MN$92$314$287$359$69
2Memorial Hospital of Laramie CountyCheyenne, WY$468$564$550$615$39
3Carolinas Medical CenterCharlotte, NC$315$732$777$1.3k$316
4North Carolina Baptist HospitalBermuda Run, NC$503$888$1.2k$2.4k$600
5Carolinas Medical CenterCharlotte, NC$315$748$760$1.3k$358
6Carolinas Medical CenterCharlotte, NC$315$662$725$1.3k$354
7The Charlotte Mecklenburg Hospital AuthorityConcord, NC$177$723$736$1.4k$381
8The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$145$723$728$1.4k$390
9Atrium Health Hospitals IncShelby, NC$203$759$759$1.4k$382
10The Charlotte Mecklenburg Hospital AuthorityAlbermarle, NC$174$861$827$1.4k$422
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