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NDC 39822016605

39822-0166-05 - polymyxin B sulfate 500000. unit(s

Reported by 53 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

$18

Average

$539.2k

Median

$44

High

$28571.5k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$47$91$102$170$37
2Bluffton Health System LLCBluffton, IN$19$49$48$71$17
3Dukes Health System LLCPeru, IN$30$72$77$160$35
4Warsaw Health System LLCWarsaw, IN$73$204$203$325$69
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$42$86$93$176$33
6St. Joseph Health System, LLCIN 46802, IN$43$107$28571.5k$178$166598.6k
7Dupont Hospital LLCIN 46825, IN$46$97$105$170$39
8Durant HMA LLCDurant, OK$89$478$394$573$166
9Northwest Sahurita Hospital LLCAZ 85748, AZ$7$15$18$52$14
10Northwest Sahurita Hospital LLCAZ 85629, AZ$7$15$18$52$14
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