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NDC 0143924510

DACARBAZINE 200 MG INTRAVENOUS SOLUTION

Reported by 21 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

$116

Median

$108

High

$470

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$5$71$75$158$37
2Catholic Health Initiatives ColoradoSalt Lake City, UT$11$96$109$180$37
3Catholic Health Initiatives ColoradoColorado Springs, CO$5$77$78$158$40
4Catholic Health Initiatives ColoradoLehi, UT$11$95$108$180$37
5St Francis HospitalColorado Springs, CO$5$69$69$153$32
6Longmont United HospitalLongmont, CO$5$63$74$162$42
7Catholic Health Initiatives ColoradoFrisco, CO$6$108$108$166$47
8Commonspirit Kansas, Inc.Ulysses, KS$5$144$114$171$55
9Commonspirit Kansas, Inc.Dodge City, KS$5$144$124$162$43
10Catholic Health Initiatives ColoradoPueblo, CO$50$81$91$158$35
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Look up this code directly

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