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NDC 1671497201

ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION

Reported by 9 hospitals in the network under the other 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 a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$4

Average

$49

Median

$40

High

$119

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$0$95$95$2.1k—
2Catholic Health Initiatives ColoradoColorado Springs, CO$0$4$4$2.1k—
3St Francis HospitalColorado Springs, CO$0$4$4$2.0k—
4Catholic Health Initiatives ColoradoFrisco, CO$1$53$53$2.2k—
5Commonspirit Kansas, Inc.Dodge City, KS$1$8$8$2.1k—
6Catholic Health Initiatives ColoradoLayton, UT$1$119$119$2.4k—
7Commonspirit Kansas, Inc.Garden City, KS$1$4$4$2.3k—
8Catholic Health Initiatives ColoradoWest Jordan, UT$1$115$115$2.4k—
9Catholic Health Initiatives ColoradoCanon City, CO$353$52$40$2.1k$16

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