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NDC 00409148402

nitroglycerin 100 mg/250 mL (400 mcg/mL) in 5 % dextrose intravenous

Reported by 29 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

$23

Average

$29

Median

$29

High

$35

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$2$31$29$50$13
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$2$28$23$50$15
3Baylor Scott & White Medical Center - TaylorTaylor, TX$2$29$25$44$13
4Baylor Scott & White Medical Center - HillcrestWaco, TX$2$31$27$47$12
5Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$2$32$28$47$14
6Baylor Scott & White Medical Center - Round RockRound Rock, TX$2$32$30$50$14
7Baylor Scott & White McLane Children's Medical CenterTemple, TX$2$31$28$47$13
8Baylor Scott & White Medical Center - Lake PointeRowlett, TX$2$32$28$47$14
9Baylor Scott & White Medical Center - PlanoPlano, TX$2$33$30$47$13
10Baylor Scott & White Medical Center - GrapevineGrapevine, TX$2$33$29$47$14
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