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NDC 17478050410

methylene blue 100 mg/10 mL Soln-Inj 10 mL

Reported by 8 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

$4

Average

$71

Median

$28

High

$268

Hospitals reporting this code

#HospitalLocation
1Naples HMA LLCNaples, FL$23$128$117$128$29
2Naples HMA LLCNaples, FL$23$128$117$128$29
3Northwest Sahurita Hospital LLCAZ 85748, AZ$0$4$4$19$2
4Northwest Sahurita Hospital LLCAZ 85629, AZ$0$4$4$19$2
5Oro Valley Hospital LLCTucson, AZ$1$4$4$23$3
6Northwest Hospital LLCAZ 85741, AZ$1$4$5$23$3
7Triad of Alabama LLCAL 36305, AL$3$52$52$101$49
8Crestview Hospital CorporationCrestview, FL$10$71$268$1.6k$522

Look up this code directly

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