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NDC 17478050401

Methylene Blue IV Soln 1%

Reported by 4 hospitals in the network under the case rate 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 negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$8

Average

$8

Median

$8

High

$9

Hospitals reporting this code

#HospitalLocation
1Sanford Behavioral Health Thief River FallsThief River Falls, MN$8$8$8$47—
2Sanford Westbrook HospitalWestbrook, MN$8$8$8$78—
3Sanford Worthington Medical CenterWorthington, MN$6$9$9$88$0
4Sanford Thief River Falls Medical CenterThief River Falls, MN$8$8$8$47—

Look up this code directly

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