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NDC 1657110125

DICLOFENAC 0.1 % EYE DROPS

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

$75

Average

$98

Median

$98

High

$129

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$38$77$84$142$33
2Catholic Health Initiatives ColoradoSalt Lake City, UT$58$87$99$161$29
3Catholic Health Initiatives ColoradoColorado Springs, CO$44$81$93$142$32
4Catholic Health Initiatives ColoradoLehi, UT$58$87$99$161$29
5St Francis HospitalColorado Springs, CO$38$73$79$137$29
6Longmont United HospitalLongmont, CO$38$65$79$145$34
7Catholic Health Initiatives ColoradoFrisco, CO$44$97$106$149$34
8Commonspirit Kansas, Inc.Ulysses, KS$52$135$113$153$43
9Commonspirit Kansas, Inc.Dodge City, KS$57$129$124$145$22
10Catholic Health Initiatives ColoradoPueblo, CO$45$94$95$142$33
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