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NDC 16729-0171-01

AMITRIPTYLINE 10 MG ORAL TAB

Reported by 57 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

$0

Average

$17

Median

$2

High

$408

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalWinfield, IL$1$2$3$5$1
2Northwestern Memorial HospitalChicago, IL$0$2$2$5$1
3Northwestern Medicine Kishwaukee HospitalDeKalb, IL$1$2$2$3$1
4Northwestern Medicine Valley West HospitalSandwich, IL$1$2$2$3$1
5Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$0$1$1$2$0
6Northwestern Medicine Delnor HospitalGeneva, IL$1$3$3$5$1
7Northwestern Lake Forest HospitalLake Forest, IL$0$1$1$2$1
8Palos Community HospitalPalos Heights, IL$0$1$1$2$1
9Northwestern Medicine Marianjoy Rehabilitation HospitalWheaton, IL$2$2$3$4$1
10Portland Adventist Medical CenterPortland, OR$77$274$317$823$177
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