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NDC 00409-4031-16

MANNITOL 25 % 25 % IV SOLN

Reported by 36 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

$37

Median

$25

High

$281

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalWinfield, IL$17$127$128$252$82
2Northwestern Memorial HospitalChicago, IL$6$46$109$401$114
3Northwestern Medicine Kishwaukee HospitalDeKalb, IL$73$285$281$401$84
4Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$7$18$20$37$8
5Northwestern Medicine Delnor HospitalGeneva, IL$20$87$80$135$36
6Northwestern Lake Forest HospitalLake Forest, IL$8$22$25$46$13
7Saint Marys HospitalWaterbury, CT$5$6$10$25$6
8Catholic Health Initiatives-Iowa CorpDes Moines, IA$8$14$21$42$9
9Covenant Medical Center IncWaterloo, IA$8$27$25$42$10
10Catholic Health Initiatives-Iowa CorpWest Des Moines, IA$8$14$20$42$9
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