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NDC 1747806412

HYPROMELLOSE 2.5 % EYE DROPS

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

$38

Average

$50

Median

$50

High

$66

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$19$39$43$72$17
2Catholic Health Initiatives ColoradoSalt Lake City, UT$29$45$51$82$15
3Catholic Health Initiatives ColoradoColorado Springs, CO$22$41$48$72$17
4Catholic Health Initiatives ColoradoLehi, UT$29$44$50$82$15
5St Francis HospitalColorado Springs, CO$19$37$40$70$15
6Longmont United HospitalLongmont, CO$19$33$40$74$18
7Catholic Health Initiatives ColoradoFrisco, CO$22$49$54$76$17
8Commonspirit Kansas, Inc.Ulysses, KS$26$69$58$78$22
9Commonspirit Kansas, Inc.Dodge City, KS$29$66$63$74$11
10Catholic Health Initiatives ColoradoPueblo, CO$23$48$48$72$17
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