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NDC 00904707924

PHENYTOIN 100 MG/4 ML ORAL SUSPENSION

Reported by 53 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

$4

Average

$16

Median

$6

High

$357

Hospitals reporting this code

#HospitalLocation
1North Carolina Baptist HospitalWinston Salem, NC$6$11$15$30$8
2Carolinas Medical CenterCharlotte, NC$4$10$11$18$4
3North Carolina Baptist HospitalBermuda Run, NC$6$11$15$30$8
4Carolinas Medical CenterCharlotte, NC$4$11$11$18$4
5Carolinas Medical CenterCharlotte, NC$4$10$11$18$4
6The Charlotte Mecklenburg Hospital AuthorityConcord, NC$2$10$10$19$5
7The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$2$10$10$19$5
8Atrium Health Hospitals IncShelby, NC$3$10$10$19$5
9The Charlotte Mecklenburg Hospital AuthorityAlbermarle, NC$2$12$11$19$6
10The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$2$10$10$18$5
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