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NDC 00904-6570-61

OXYBUTYNIN CHLORIDE 5 MG ORAL TR24

Reported by 28 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

$1

Average

$118

Median

$7

High

$597

Hospitals reporting this code

#HospitalLocation
1Northwestern Memorial HospitalChicago, IL$1$4$5$7$2
2Palos Community HospitalPalos Heights, IL$1$4$4$7$2
3Alegent Creighton HealthOmaha, NE$72$271$263$384$100
4Alegent Creighton HealthPapillion, NE$81$271$264$384$98
5Alegent Health Bergan Mercy Health SystemOmaha, NE$77$327$274$384$106
6Alegent Health Immanuel Medical CenterOmaha, NE$63$271$265$384$98
7Alegent Health - Mercy Hospital, Corning IowaCorning, IA$194$434$423$1.0k$111
8Alegent Health Bergan Mercy Health SystemCouncil Bluffs, IA$68$271$271$384$88
9Alegent Health Bergan Mercy Health SystemOmaha, NE$77$271$265$384$97
10Mercy Health Saint MarysGrand Rapids, MI$0$1$1$1$0
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