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NDC 13533063504

13533-0635-04 - immune globulin intramuscular Soln

Reported by 41 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

$43

Average

$698

Median

$807

High

$1.3k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$317$618$694$1.2k$255
2Lutheran Musculoskeletal Center LLCFort Wayne, IN$201$411$444$841$157
3St. Joseph Health System, LLCWayne, IN$322$771$830$1.3k$307
4Sanford Medical Center BismarckBismarck, ND$47$111$97$143$39
5UPMC LititzLititz, PA$6$29$45$356$56
6UPMC MemorialYork, PA$3$34$50$356$59
7UPMC HanoverHanover, PA$9$38$53$356$58
8UPMC CarlisleCarlisle, PA$6$30$45$356$53
9UPMC Pinnacle HospitalsHarrisburg, PA$6$38$43$135$28
10UPMC SomersetSomerset, PA$4$49$46$191$36
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