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NDC 00904-6488-38

ARTIFICIAL TEARS 3.5 GM TUBE

Reported by 15 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

$3

Average

$10

Median

$3

High

$36

Hospitals reporting this code

#HospitalLocation
1Commonspirit OregonPendleton, OR$15$41$36$43$9
2Vanderbilt Wilson County HospitalLebanon, TN$2$3$3$7$2
3Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$2$3$3$7$2
4Vanderbilt University Medical CenterNashville, TN$2$3$3$7$2
5Vanderbilt Bedford HospitalShelbyville, TN$2$3$3$7$2
6MaineHealthPortland, ME$23$27$27$30$2
7MaineHealthNorth Conway, NH$11$28$25$31$8
8MaineHealthFarmington, ME$4$10$9$12$3
9Nebraska Medical CenterOmaha, NE$5$18$18$48$10
10Bellevue Medical Center LlcBellevue, NE$4$14$16$48$9
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