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NDC 1672922903

PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION

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

$258

Average

$474

Median

$557

High

$770

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$4$109$276$1.1k$322
2Catholic Health Initiatives ColoradoSalt Lake City, UT$4$603$566$1.2k$371
3Catholic Health Initiatives ColoradoColorado Springs, CO$4$309$309$1.1k$341
4Catholic Health Initiatives ColoradoLehi, UT$4$609$578$1.2k$362
5St Francis HospitalColorado Springs, CO$4$198$258$1.0k$285
6Longmont United HospitalLongmont, CO$4$286$281$1.1k$338
7Catholic Health Initiatives ColoradoFrisco, CO$4$556$556$1.1k$415
8Commonspirit Kansas, Inc.Ulysses, KS$5$970$770$1.2k$373
9Commonspirit Kansas, Inc.Dodge City, KS$4$798$558$1.1k$459
10Catholic Health Initiatives ColoradoPueblo, CO$4$388$366$1.1k$356
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