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NDC 00395266116

SIMPLE SYRUP PO SYRP

Reported by 44 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

$0

Average

$20

Median

$16

High

$54

Hospitals reporting this code

#HospitalLocation
1St Luke's Methodist HospitalCedar Rapids, IA$0$1$1$1$0
2Meriter Hospital, IncMadison, WI$0$1$1$2$0
3Central Iowa Hospital CorporationDes Moines, IA$0$1$0$1$0
4Central Iowa Hospital CorporationDes Moines, IA$0$1$0$1$0
5Gottlieb Memorial HospitalMelrose Park, IL$0$0$0$0—
6Northside Hospital, Inc.Lawrenceville, GA$12$52$54$81$19
7Northside Hospital, Inc.Canton, GA$9$52$52$81$19
8Northside Hospital, Inc.Atlanta, GA$13$52$52$81$18
9Northside Hospital, Inc.Duluth, GA$10$52$53$81$20
10Northside Hospital, Inc.Cumming, GA$10$52$52$81$19
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Look up this code directly

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