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NDC 09991173900

ACETAZOLAMIDE 25 MG/ML ORAL SUSPENSION

Reported by 19 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

Based on 13,758–13,965 billing samples across every hospital reporting.

Low

$71

Average

$103

Median

$81

High

$184

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1North Carolina Baptist HospitalBermuda Run, NC$82$109$553,090–3,126$46$222
2Atrium Health Hospitals IncShelby, NC$77$78$362,424–2,433$20$137
3The Charlotte Mecklenburg Hospital AuthorityMonroe, NC$67$75$382,347–2,374$19$137
4The Charlotte Mecklenburg Hospital AuthorityConcord, NC$72$76$362,204–2,240$18$137
5The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$72$75$371,930–1,948$14$140
6The Charlotte Mecklenburg Hospital AuthorityAlbermarle, NC$87$84$41981$17$139
7The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$70$73$37761–788$14$133
8Carolinas Medical CenterCharlotte, NC$77$78$3916–25$27$145
9Floyd Healthcare Management IncRome, GA$152$136$542–20$43$215
10The Medical Center of Central Georgia IncMacon, GA$166$169$412–20$76$235
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