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NDC 00781318273

FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION

Reported by 36 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

$224

Average

$1.2k

Median

$1.2k

High

$3.2k

Hospitals reporting this code

#HospitalLocation
1UPMC LititzLititz, PA$6$298$274$607$187
2UPMC MemorialYork, PA$7$283$255$607$207
3UPMC HanoverHanover, PA$6$393$311$621$234
4UPMC CarlisleCarlisle, PA$3$291$260$607$192
5UPMC Pinnacle HospitalsHarrisburg, PA$6$304$275$607$225
6UPMC SomersetSomerset, PA$6$253$224$536$196
7Brighton Community Hospital Association Dba Intermountain Health Platte Valley HospitalBRIGHTON, CO$1.2k$3.4k$3.2k$3.9k$788
8Baylor Scott & White Medical Center - TempleTemple, TX$6$1.6k$1.2k$2.9k$937
9Baylor Scott & White Medical Center - BrenhamBrenham, TX$17$1.6k$1.4k$2.9k$812
10Baylor Scott & White Medical Center - TaylorTaylor, TX$17$1.7k$1.5k$2.6k$701
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