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NDC 00941042453

DIANEAL 1.5% DEX LO CA 2.5L

Reported by 57 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

$141

Median

$153

High

$663

Hospitals reporting this code

#HospitalLocation
1UPMC Magee-Womens HospitalPittsburgh, PA$9$27$32$73$13
2UPMC St MargaretPittsburgh, PA$6$11$13$58$9
3UPMC PresbyterianPittsburgh, PA$9$39$35$76$12
4UPMC Passavant - McCandlessPittsburgh, PA$13$26$31$68$13
5UPMC Childrens Hospital of PittsburghPittsburgh, PA$10$21$27$66$13
6UPMC EastMonroeville, PA$3$10$13$57$10
7UPMC NorthwestSeneca, PA$5$11$124$3.7k$633
8UPMC ColeCoudersport, PA$2$5$4$7$2
9UPMC KaneKane, PA$3$4$10$180$31
10UPMC Western MarylandCumberland, MD$8$8$8$8—
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