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NDC 00406-0484-23

ACETAMINOPHEN-CODEINE 300-30 MG ORAL TAB

Reported by 52 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

$1

Average

$5

Median

$3

High

$17

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalWinfield, IL$4$16$17$30$7
2Northwestern Memorial HospitalChicago, IL$1$5$9$30$9
3Northwestern Medicine Valley West HospitalSandwich, IL$5$17$16$26$6
4Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$1$2$2$4$1
5Northwestern Medicine Delnor HospitalGeneva, IL$2$8$8$13$3
6Northwestern Lake Forest HospitalLake Forest, IL$1$2$2$5$1
7Palos Community HospitalPalos Heights, IL$0$2$2$3$1
8Northwestern Medicine Marianjoy Rehabilitation HospitalWheaton, IL$3$5$5$8$1
9Mount Sinai Rehabilitation Hospital, IncHartford, CT$0$1$1$1$0
10Saint Alphonsus Regional Medical Center - BoiseBoise, ID$0$1$1$1$0
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