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NDC 13925052201

PENTAMIDINE ISETHIONATE 300 MG IN SOLR

Reported by 42 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$52

Average

$180

Median

$88

High

$786

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1St Luke's Methodist HospitalCedar Rapids, IA$80$80——$55$96
2Trinity Medical CenterRock Island, IL$80$80——$47$297
3Trinity Medical CenterBettendorf, IA$80$80——$47$92
4Central Iowa Hospital CorporationDes Moines, IA$80$80——$13$85
5Central Iowa Hospital CorporationDes Moines, IA$80$80——$13$85
6Allen Memorial Hospital CorporationWaterloo, IA$80$80——$23$113
7Sanford Fargo Medical CenterFargo, ND$76$68$11—$52$242
8Sanford Medical Center BismarckBismarck, ND$76$76——$69$135
9Sanford Bemidji Medical CenterBemidji, MN$53$53——$53$149
10Sanford USD Medical CenterSioux Falls, SD$76$66$12—$48$129
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