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NDC 1671453625

GLYCOPYRROLATE 0.2 MG/ML INTRAVENOUS INJECTION (SO)

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

$42

Average

$54

Median

$55

High

$72

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$21$43$47$79$18
2Catholic Health Initiatives ColoradoSalt Lake City, UT$32$49$55$90$16
3Catholic Health Initiatives ColoradoColorado Springs, CO$24$45$52$79$18
4Catholic Health Initiatives ColoradoLehi, UT$32$49$55$90$16
5St Francis HospitalColorado Springs, CO$21$41$44$77$16
6Longmont United HospitalLongmont, CO$21$36$44$81$19
7Catholic Health Initiatives ColoradoFrisco, CO$24$54$59$83$19
8Commonspirit Kansas, Inc.Ulysses, KS$29$75$63$86$24
9Commonspirit Kansas, Inc.Dodge City, KS$32$72$69$81$13
10Catholic Health Initiatives ColoradoPueblo, CO$25$52$53$79$18
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