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NDC 00641-0928-25

PROMETHAZINE 25MG INJ

Reported by 24 hospitals in the network under the fee schedule methodology.

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.

Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$1

Average

$11

Median

$6

High

$41

Hospitals reporting this code

#HospitalLocation
1Agh Laveen LlcPhoenix, AZ$4$9$16$44$14
2Dignity Community CareWoodland, CA$1$20$20$50$16
3Dignity Community CareChandler, AZ$4$8$16$45$13
4Dignity HealthRed Bluff, CA$8$34$34$45$10
5Agh Mesa LlcMesa, AZ$4$9$16$44$14
6Dignity HealthFolsom, CA$1$6$14$41$15
7Sierra Nevada Memorial-miners HospitalGrass Valley, CA$2$18$29$64$25
8Dignity HealthGilbert, AZ$4$7$15$42$12
9Dignity HealthMt Shasta, CA$8$50$41$60$19
10Dignity HealthPhoenix, AZ$4$11$11$21$6
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