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NDC 00781318273

FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION

Reported by 36 hospitals in the network under the percent of billed charges 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 negotiated percentage of total billed charges.

National pricing summary

Low

$355

Average

$1.6k

Median

$1.8k

High

$3.2k

Hospitals reporting this code

#HospitalLocation
1UPMC LititzLititz, PA$6$334$355$607$135
2UPMC MemorialYork, PA$7$393$379$607$141
3UPMC HanoverHanover, PA$6$485$448$621$143
4UPMC CarlisleCarlisle, PA$3$347$360$607$129
5UPMC Pinnacle HospitalsHarrisburg, PA$6$438$411$607$150
6UPMC SomersetSomerset, PA$6$357$373$536$105
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$1.8k$1.8k$2.9k$510
9Baylor Scott & White Medical Center - BrenhamBrenham, TX$17$1.7k$1.4k$2.9k$779
10Baylor Scott & White Medical Center - TaylorTaylor, TX$17$1.7k$1.6k$2.6k$647
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