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NDC 1671497301

PHYTONADIONE (VITAMIN K1) 5 MG TABLET

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

$70

Average

$98

Median

$97

High

$138

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$38$76$83$140$33
2Catholic Health Initiatives ColoradoSalt Lake City, UT$57$86$98$159$29
3Catholic Health Initiatives ColoradoColorado Springs, CO$43$80$92$140$32
4Catholic Health Initiatives ColoradoLehi, UT$57$86$98$159$29
5St Francis HospitalColorado Springs, CO$38$73$78$136$29
6Longmont United HospitalLongmont, CO$38$64$78$143$34
7Catholic Health Initiatives ColoradoFrisco, CO$43$96$105$147$34
8Commonspirit Kansas, Inc.Ulysses, KS$51$133$119$283$56
9Commonspirit Kansas, Inc.Dodge City, KS$56$128$132$283$46
10Catholic Health Initiatives ColoradoPueblo, CO$44$92$94$140$32
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