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NDC 25866059361

Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv)

Reported by 34 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

$10

Average

$16

Median

$15

High

$29

Hospitals reporting this code

#HospitalLocation
1Sanford Fargo Medical CenterFargo, ND$11$27$25$34$8
2Sanford USD Medical CenterSioux Falls, SD$4$10$10$14$3
3Sanford Aberdeen Medical CenterAberdeen, SD$15$28$26$31$5
4Sanford Luverne Medical CenterLuverne, MN$9$30$26$35$8
5Sanford Sheldon Medical CenterSheldon, IA$13$28$29$40$10
6Baylor Scott & White Medical Center - TempleTemple, TX$4$14$15$23$4
7Baylor Scott & White Medical Center - BrenhamBrenham, TX$3$13$11$23$6
8Baylor Scott & White Medical Center - TaylorTaylor, TX$5$14$12$20$5
9Baylor Scott & White Medical Center - HillcrestWaco, TX$3$14$14$21$4
10Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$4$15$14$21$5
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