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NDC 42023-0187-01

DEXMEDETOMIDINE 400 MCG/NS 100 ML INFUSION - PYXIS

Reported by 14 hospitals in the network under the fee schedule methodology.

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.

Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$0

Average

$147

Median

$175

High

$264

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Alegent Creighton HealthOmaha, NE$179$174$66—$48$254
2Alegent Health Memorial Hospital, SchuylerSchuyler, NE$287$252$64—$64$338
3Alegent Creighton HealthPlainview, NE$287$264$46—$182$405
4Alegent Creighton HealthPapillion, NE$179$175$65—$54$254
5Alegent Health Bergan Mercy Health SystemOmaha, NE$217$181$70—$51$254
6Alegent Health Community Memorial Hospital Of Missouri Valley, IowaMissouri Valley, IA$287$244$71—$105$293
7Alegent Health Immanuel Medical CenterOmaha, NE$179$175$65—$42$254
8Alegent Health - Mercy Hospital, Corning IowaCorning, IA$287$244$68—$128$293
9Alegent Health Bergan Mercy Health SystemCouncil Bluffs, IA$179$179$59—$45$254
10Alegent Health Bergan Mercy Health SystemOmaha, NE$179$175$64—$51$254
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