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NDC 17478050401

Methylene Blue IV Soln 1

Reported by 3 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$16

Average

$112

Median

$77

High

$244

Hospitals reporting this code

#HospitalLocation
1Foley Hospital Company LLCFoley, AL$1$77$77$154$77
2QHG of Enterprise IncEnterprise, AL$25$244$244$281$37
3Navarro Hospital LPCorsicana, TX$4$19$16$48$6

Look up this code directly

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