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NDC 0143967910

GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION

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

$277

Average

$363

Median

$366

High

$481

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$142$287$312$528$123
2Catholic Health Initiatives ColoradoSalt Lake City, UT$215$325$369$600$109
3Catholic Health Initiatives ColoradoColorado Springs, CO$162$300$346$528$120
4Catholic Health Initiatives ColoradoLehi, UT$215$324$367$600$109
5St Francis HospitalColorado Springs, CO$142$273$292$510$109
6Longmont United HospitalLongmont, CO$142$240$294$540$128
7Catholic Health Initiatives ColoradoFrisco, CO$162$360$395$552$127
8Commonspirit Kansas, Inc.Ulysses, KS$192$500$419$570$159
9Commonspirit Kansas, Inc.Dodge City, KS$210$480$461$540$83
10Catholic Health Initiatives ColoradoPueblo, CO$166$348$353$528$121
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