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NDC 1353363630

HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML INTRAMUSCULAR SYRINGE

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

$197

Average

$263

Median

$289

High

$344

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$125$186$206$467$91
2Catholic Health Initiatives ColoradoSalt Lake City, UT$135$273$292$531$112
3Catholic Health Initiatives ColoradoColorado Springs, CO$132$197$216$467$97
4Catholic Health Initiatives ColoradoLehi, UT$135$276$295$531$109
5St Francis HospitalColorado Springs, CO$125$186$199$451$76
6Longmont United HospitalLongmont, CO$125$170$206$478$102
7Catholic Health Initiatives ColoradoFrisco, CO$132$313$288$488$135
8Commonspirit Kansas, Inc.Ulysses, KS$160$425$344$504$151
9Commonspirit Kansas, Inc.Dodge City, KS$132$349$294$478$143
10Catholic Health Initiatives ColoradoPueblo, CO$132$209$225$467$104
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