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NDC 1199401701

PERFLUTREN LIPID MICROSPHERES RT 0.65 MG/ML IV 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

$308

Average

$443

Median

$482

High

$620

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$47$307$320$721$166
2Catholic Health Initiatives ColoradoSalt Lake City, UT$100$438$495$820$165
3Catholic Health Initiatives ColoradoColorado Springs, CO$47$350$359$721$175
4Catholic Health Initiatives ColoradoLehi, UT$100$434$492$820$165
5St Francis HospitalColorado Springs, CO$47$315$320$697$139
6Longmont United HospitalLongmont, CO$44$287$339$738$185
7Catholic Health Initiatives ColoradoFrisco, CO$62$492$504$754$207
8Commonspirit Kansas, Inc.Ulysses, KS$129$656$526$779$241
9Commonspirit Kansas, Inc.Dodge City, KS$114$656$571$738$180
10Catholic Health Initiatives ColoradoPueblo, CO$226$369$389$721$155
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