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NDC 00264-7612-00

5% DEXT & .45% SOD CHL 1000

Reported by 21 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

Low

$1

Average

$223

Median

$12

High

$4.3k

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.
1St. Joseph's Area Health ServicesPark Rapids, MN$6$6$3—$3$10
2St. Francis Medical CenterBreckenridge, MN$8$7$2—$2$10
3Oakes Community HospitalOakes, ND$10$9$2—$4$10
4Mercy Hospital Of Valley CityValley City, ND$9$8$2—$4$10
5St Joseph's Hospital And Health CenterDickinson, ND$14$13$3—$7$17
6Carrington Health CenterCarrington, ND$8$8$2—$3$10
7Mercy Hospital Of Devils LakeDevils Lake, ND$8$8$2—$4$10
8Franciscan Health SystemTacoma, WA$12$12$0—$12$12
9Harrison Medical CenterSilverdale, WA$13$13$1—$10$15
10Enumclaw Regional Hospital AssociationEnumclaw, WA$4$5$4—$3$15
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