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NDC 39822405005

39822-4050-05 - phenytoin 50 mg/mL Soln

Reported by 55 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

$3

Average

$42

Median

$11

High

$394

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$47$91$102$170$37
2Bluffton Health System LLCBluffton, IN$14$35$35$51$12
3Warsaw Health System LLCWarsaw, IN$73$204$203$325$69
4Lutheran Musculoskeletal Center LLCFort Wayne, IN$42$86$93$176$33
5Durant HMA LLCDurant, OK$89$478$394$573$166
6Naples HMA LLCNaples, FL$1$2$3$4$1
7Naples HMA LLCFL 34114, FL$1$2$3$4$1
8Naples HMA LLCNaples, FL$1$2$3$4$1
9Cocke County HMA, LLCNewport, TN$1$7$7$15$5
10Oro Valley Hospital LLCTucson, AZ$0$5$5$10$3
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