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NDC 1199401720

PERFLUTREN LIPID MICROSPHERES RT 0.65 MG/ML IV SUSP

Reported by 20 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

Low

$339

Average

$467

Median

$498

High

$630

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$47$328$370$721$147
2Catholic Health Initiatives ColoradoSalt Lake City, UT$100$442$504$820$156
3Catholic Health Initiatives ColoradoColorado Springs, CO$47$373$394$721$152
4Catholic Health Initiatives ColoradoLehi, UT$100$438$500$820$156
5St Francis HospitalColorado Springs, CO$47$328$345$697$119
6Longmont United HospitalLongmont, CO$44$287$366$738$171
7Catholic Health Initiatives ColoradoFrisco, CO$62$492$519$754$186
8Commonspirit Kansas, Inc.Ulysses, KS$129$670$546$779$230
9Commonspirit Kansas, Inc.Dodge City, KS$114$656$602$738$141
10Catholic Health Initiatives ColoradoPueblo, CO$226$369$416$721$158
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