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NDC 1747822112

SULFACETAMIDE SODIUM 10 % 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

$91

Average

$119

Median

$120

High

$157

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$46$94$102$173$40
2Catholic Health Initiatives ColoradoSalt Lake City, UT$70$106$121$196$36
3Catholic Health Initiatives ColoradoColorado Springs, CO$53$98$113$173$39
4Catholic Health Initiatives ColoradoLehi, UT$70$106$120$196$36
5St Francis HospitalColorado Springs, CO$46$89$96$167$36
6Longmont United HospitalLongmont, CO$46$79$96$177$42
7Catholic Health Initiatives ColoradoFrisco, CO$53$118$129$181$42
8Commonspirit Kansas, Inc.Ulysses, KS$63$164$137$187$52
9Commonspirit Kansas, Inc.Dodge City, KS$69$157$151$177$27
10Catholic Health Initiatives ColoradoPueblo, CO$54$114$116$173$40
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