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NDC 00245002322

AMMONIUM LACT 12% LOTION 225GM

Reported by 20 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

$5

Average

$39

Median

$20

High

$140

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.
1UPMC Magee-Womens HospitalPittsburgh, PA$61$109$104—$14$392
2UPMC St MargaretPittsburgh, PA$13$15$8—$6$42
3UPMC PresbyterianPittsburgh, PA$64$140$130—$14$362
4UPMC Passavant - McCandlessPittsburgh, PA$56$117$127—$20$396
5UPMC Horizon - GreenvilleGreenville, PA$9$11$3—$5$18
6UPMC MuncyMuncy, PA$30$26$11—$7$2.3k
7UPMC MercyPittsburgh, PA$18$19$10—$6$45
8UPMC HamotErie, PA$21$23$9—$7$38
9UPMC WilliamsportWilliamsport, PA$30$27$8—$12$40
10UPMC WellsboroWellsboro, PA$31$27$12—$8$43
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