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NDC 0078068515

ELTROMBOPAG OLAMINE 25 MG TABLET

Reported by 20 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

$419

Average

$548

Median

$552

High

$726

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$214$433$471$797$185
2Catholic Health Initiatives ColoradoSalt Lake City, UT$324$491$557$906$164
3Catholic Health Initiatives ColoradoColorado Springs, CO$245$453$523$797$182
4Catholic Health Initiatives ColoradoLehi, UT$324$490$554$906$164
5St Francis HospitalColorado Springs, CO$214$412$441$770$164
6Longmont United HospitalLongmont, CO$214$362$444$815$193
7Catholic Health Initiatives ColoradoFrisco, CO$245$544$596$833$192
8Commonspirit Kansas, Inc.Ulysses, KS$290$755$633$861$241
9Commonspirit Kansas, Inc.Dodge City, KS$317$725$695$815$126
10Catholic Health Initiatives ColoradoPueblo, CO$250$525$533$797$183
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