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NDC 1747852603

DIMERCAPROL 100 MG/ML INTRAMUSCULAR SOLUTION

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

$805

Average

$1.1k

Median

$1.2k

High

$1.5k

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$87$813$881$1.8k$409
2Catholic Health Initiatives ColoradoSalt Lake City, UT$711$1.1k$1.2k$2.0k$383
3Catholic Health Initiatives ColoradoColorado Springs, CO$87$924$929$1.8k$433
4Catholic Health Initiatives ColoradoLehi, UT$711$1.1k$1.2k$2.0k$383
5St Francis HospitalColorado Springs, CO$87$813$823$1.7k$348
6Longmont United HospitalLongmont, CO$104$711$897$1.8k$436
7Catholic Health Initiatives ColoradoFrisco, CO$174$1.2k$1.2k$1.9k$492
8Commonspirit Kansas, Inc.Ulysses, KS$62$1.6k$1.3k$1.9k$620
9Commonspirit Kansas, Inc.Dodge City, KS$62$1.6k$1.4k$1.8k$483
10Catholic Health Initiatives ColoradoPueblo, CO$119$914$998$1.8k$420
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