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  5. /Case rate

NDC 00270-0556-15

SINCALIDE 5 MCG SOLUTION FOR INJECTION

Reported by 11 hospitals in the network under the case rate 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 flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$448

Average

$7.6k

Median

$632

High

$19.8k

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.
1Mount Carmel New Albany Surgical HospitalNew Albany, OH$632$632——$118$632
2Mount Carmel Grove CityGrove City, OH$632$632——$118$632
3Diley Ridge Medical CenterCanal Winchester, OH$632$632——$118$632
4Mount Carmel St Ann'sWesterville, OH$632$632——$118$632
5Mount Carmel EastColumbus, OH$632$632——$118$632
6Geisinger Community Medical CenterScranton, PA$20.1k$19.8k$2.9k—$701$23.0k
7Geisinger Bloomsburg HospitalBloomsburg, PA$10.4k$9.2k$3.4k—$554$12.2k
8Geisinger Wyoming ValleyWilkes-Barre, PA$19.7k$19.7k$3.5k—$701$23.2k
9Geisinger Lewistown HospitalLewistown, PA$16.7k$17.5k$4.3k—$238$24.4k
10Geisinger Jersey Shore HospitalJersey Shore, PA$15.1k$13.2k$3.0k—$554$15.6k
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