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NDC 00904707924

PHENYTOIN 100 MG/4 ML ORAL SUSPENSION

Reported by 53 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

$4

Average

$10

Median

$6

High

$25

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$11$11$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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