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NDC 00517176701

Hydroxyprogesterone Caproate IM 250 MG/ML

Reported by 31 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

$244

Average

$1.1k

Median

$1.1k

High

$1.3k

Hospitals reporting this code

#HospitalLocation
1Sanford Canby Medical CenterCanby, MN$78$266$244$305$58
2Baylor Scott & White Medical Center - TempleTemple, TX$14$1.1k$1.1k$1.8k$497
3Baylor Scott & White Medical Center - BrenhamBrenham, TX$14$1.0k$833$1.8k$559
4Baylor Scott & White Medical Center - TaylorTaylor, TX$14$1.1k$900$1.6k$500
5Baylor Scott & White Medical Center - HillcrestWaco, TX$14$1.1k$1.0k$1.7k$470
6Baylor University Medical CenterDallas, TX$14$1.3k$1.3k$7.4k$1.3k
7Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$14$1.2k$1.0k$1.7k$530
8Baylor Scott & White Medical Center - Round RockRound Rock, TX$14$1.2k$1.1k$1.8k$514
9Baylor Scott & White McLane Children's Medical CenterTemple, TX$14$1.1k$1.0k$1.7k$483
10Baylor Scott & White Medical Center - Lake PointeRowlett, TX$14$1.2k$1.0k$1.7k$526
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