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NDC 1747822612

PILOCARPINE 4 % 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

$161

Average

$211

Median

$212

High

$279

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$82$166$181$307$71
2Catholic Health Initiatives ColoradoSalt Lake City, UT$125$189$214$349$63
3Catholic Health Initiatives ColoradoColorado Springs, CO$94$174$201$307$70
4Catholic Health Initiatives ColoradoLehi, UT$125$188$213$349$63
5St Francis HospitalColorado Springs, CO$82$159$170$296$63
6Longmont United HospitalLongmont, CO$82$139$171$314$74
7Catholic Health Initiatives ColoradoFrisco, CO$94$209$230$321$74
8Commonspirit Kansas, Inc.Ulysses, KS$112$291$244$331$93
9Commonspirit Kansas, Inc.Dodge City, KS$122$279$268$314$48
10Catholic Health Initiatives ColoradoPueblo, CO$96$202$205$307$70
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Look up this code directly

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