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NDC 00641601501

DILTIAZEM HCL 125 MG/25ML IV SOLN

Reported by 7 hospitals in the network under the other 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 a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Based on 407–1,289 billing samples across every hospital reporting.

Low

$15

Average

$29

Median

$23

High

$62

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Fairview Health ServicesMinneapolis, MN$40$62$82159–411$10$317
2Fairview Health ServicesWyoming, MN$20$22$985–229$9$51
3Fairview Health ServicesPrinceton, MN$20$23$667–184$10$51
4Fairview Health ServicesEdina, MN$22$27$930–165$10$47
5HealthEast St John's HospitalMaplewood, MN$20$21$430–156$10$47
6HealthEast Woodwinds HospitalWoodbury, MN$20$30$1119–91$10$47
7Fairview Health ServicesBurnsville, MN$14$15$517–53$10$47

Look up this code directly

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