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NDC 10702006501

DEXTROAMPHETAMINE SULFATE 5 MG PO TABS

Reported by 53 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

$0

Average

$37

Median

$1

High

$352

Hospitals reporting this code

#HospitalLocation
1St Luke's Methodist HospitalCedar Rapids, IA$0$1$1$1$0
2Sanford Medical Center BismarckBismarck, ND$1$3$3$4$1
3Sanford USD Medical CenterSioux Falls, SD$1$2$1$2$1
4St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$1$3$3$4$1
5Carolinas Medical CenterCharlotte, NC$22$50$54$90$22
6North Carolina Baptist HospitalBermuda Run, NC$60$106$140$287$72
7Carolinas Medical CenterCharlotte, NC$22$52$55$90$22
8Carolinas Medical CenterCharlotte, NC$22$50$54$92$22
9The Charlotte Mecklenburg Hospital AuthorityConcord, NC$12$50$51$95$26
10The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$10$50$51$97$26
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