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NDC 1747823535

NEOMYCIN-BACITRACIN-POLYMYXN 3.5 MG-400 UNIT-10,000 UNIT/GRAM EYE OINT

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

$87

Average

$114

Median

$114

High

$151

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$44$90$98$165$38
2Catholic Health Initiatives ColoradoSalt Lake City, UT$67$102$116$188$34
3Catholic Health Initiatives ColoradoColorado Springs, CO$51$94$108$165$38
4Catholic Health Initiatives ColoradoLehi, UT$67$102$115$188$34
5St Francis HospitalColorado Springs, CO$44$86$91$160$34
6Longmont United HospitalLongmont, CO$44$75$92$169$40
7Catholic Health Initiatives ColoradoFrisco, CO$51$113$124$173$40
8Commonspirit Kansas, Inc.Ulysses, KS$60$157$131$178$50
9Commonspirit Kansas, Inc.Dodge City, KS$66$150$144$169$26
10Catholic Health Initiatives ColoradoPueblo, CO$52$109$111$165$38
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