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NDC 42494041905

methylene blue (antidote) 1 % (10 mg/mL) intravenous solution

Reported by 30 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

$511

Average

$674

Median

$673

High

$966

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$169$630$652$1.0k$179
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$139$596$511$1.0k$272
3Baylor Scott & White Medical Center - TaylorTaylor, TX$214$603$549$900$226
4Baylor Scott & White Medical Center - HillcrestWaco, TX$135$619$617$956$167
5Baylor University Medical CenterDallas, TX$191$731$966$7.4k$1.4k
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$180$700$648$956$208
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$225$658$674$1.0k$170
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$169$624$641$956$156
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$124$700$662$956$193
10Baylor Scott & White Medical Center - PlanoPlano, TX$135$715$688$956$165
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