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NDC 1191711497

ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP

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

$24

Average

$34

Median

$32

High

$58

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$12$25$27$46$11
2Catholic Health Initiatives ColoradoSalt Lake City, UT$19$28$33$52$10
3Catholic Health Initiatives ColoradoColorado Springs, CO$14$26$30$46$11
4Catholic Health Initiatives ColoradoLehi, UT$19$28$33$52$10
5St Francis HospitalColorado Springs, CO$12$24$25$44$9
6Longmont United HospitalLongmont, CO$12$21$26$47$11
7Catholic Health Initiatives ColoradoFrisco, CO$14$31$34$48$11
8Commonspirit Kansas, Inc.Ulysses, KS$17$44$48$283$55
9Commonspirit Kansas, Inc.Dodge City, KS$18$42$56$283$61
10Catholic Health Initiatives ColoradoPueblo, CO$14$30$31$46$11
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