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NDC 00641-0928-25

PROMETHAZINE 25 MG/ML VIAL

Reported by 27 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

$19

Median

$14

High

$126

Hospitals reporting this code

#HospitalLocation
1Portland Adventist Medical CenterPortland, OR$35$139$126$208$49
2Agh Laveen LlcPhoenix, AZ$4$9$16$44$14
3Dignity Community CareWoodland, CA$1$20$20$50$16
4Dignity Community CareChandler, AZ$4$8$16$45$13
5Dignity HealthRed Bluff, CA$8$34$34$45$10
6Agh Mesa LlcMesa, AZ$4$9$16$44$14
7Dignity HealthFolsom, CA$1$6$14$41$15
8Sierra Nevada Memorial-miners HospitalGrass Valley, CA$2$18$29$64$25
9Dignity HealthGilbert, AZ$4$7$15$42$12
10Dignity HealthMt Shasta, CA$8$50$41$60$19
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