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NDC 00169-3685-12

INS ASP PR70-30 100U/ML10

Reported by 20 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Based on 401–572 billing samples across every hospital reporting.

Low

$1

Average

$86

Median

$33

High

$336

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.
1Dignity Community CareSacramento, CA$1$185$311255–318$0$764
2Dignity HealthSacramento, CA$1$190$307141–204$0$737
3Dignity HealthCamarillo, CA$43$74$805–50$0$230
4Dignity HealthLas Vegas, NV$16$18$13—$0$42
5Dignity HealthHenderson, NV$16$18$13—$0$42
6Commonspirit OregonPendleton, OR$55$48$13—$20$58
7Geisinger Community Medical CenterScranton, PA$1$1$0—$0$4
8Geisinger Bloomsburg HospitalBloomsburg, PA$1$1$0—$0$3
9Geisinger Wyoming ValleyWilkes-Barre, PA$1$1$0—$1$3
10Geisinger Medical CenterDanville, PA$1$1$0—$1$3
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