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NDC 0093761843

DORZOLAMIDE 2 % EYE DROPS

Reported by 20 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

$67

Average

$88

Median

$89

High

$117

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$34$70$76$128$30
2Catholic Health Initiatives ColoradoSalt Lake City, UT$52$79$90$146$26
3Catholic Health Initiatives ColoradoColorado Springs, CO$39$73$84$128$29
4Catholic Health Initiatives ColoradoLehi, UT$52$79$89$146$26
5St Francis HospitalColorado Springs, CO$34$66$71$124$26
6Longmont United HospitalLongmont, CO$34$58$71$131$31
7Catholic Health Initiatives ColoradoFrisco, CO$39$87$96$134$31
8Commonspirit Kansas, Inc.Ulysses, KS$47$122$102$138$39
9Commonspirit Kansas, Inc.Dodge City, KS$51$117$112$131$20
10Catholic Health Initiatives ColoradoPueblo, CO$40$85$86$128$29
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