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NDC 16729071045

Dehydrated Alcohol Intra-arterial Soln

Reported by 33 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

$878

Average

$1.3k

Median

$1.2k

High

$3.6k

Hospitals reporting this code

#HospitalLocation
1Sanford USD Medical CenterSioux Falls, SD$632$1.6k$1.5k$2.2k$533
2IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$38$2.0k$1.8k$2.4k$488
3Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$1.2k$3.6k$3.6k$6.3k$1.5k
4IHC Health Services Inc., DBA Intermountain Primary Children's HospitalCity, UT$680$1.4k$1.4k$1.7k$193
5Baylor Scott & White Medical Center - TempleTemple, TX$294$1.1k$1.1k$1.8k$328
6Baylor Scott & White Medical Center - BrenhamBrenham, TX$242$1.0k$878$1.8k$484
7Baylor Scott & White Medical Center - TaylorTaylor, TX$372$1.1k$940$1.6k$404
8Baylor Scott & White Medical Center - HillcrestWaco, TX$235$1.1k$1.1k$1.7k$305
9Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$314$1.2k$1.1k$1.7k$368
10Baylor Scott & White Medical Center - Round RockRound Rock, TX$392$1.2k$1.2k$1.8k$315
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