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NDC 42571-0141-26

DORZOLAMIDE 2 % OPHT DROP

Reported by 42 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

$7

Average

$120

Median

$40

High

$444

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalWinfield, IL$109$420$444$762$192
2Northwestern Memorial HospitalChicago, IL$37$222$298$762$201
3Northwestern Medicine Kishwaukee HospitalDeKalb, IL$94$346$356$513$104
4Northwestern Medicine Valley West HospitalSandwich, IL$108$372$353$571$132
5Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$41$101$105$213$47
6Northwestern Medicine Delnor HospitalGeneva, IL$58$223$214$355$79
7Palos Community HospitalPalos Heights, IL$26$111$118$186$55
8Northwestern Medicine Marianjoy Rehabilitation HospitalWheaton, IL$193$276$296$460$82
9Portland Adventist Medical CenterPortland, OR$0$84$95$251$56
10CHI St. Vincent Hospital Hot SpringsHot Springs, AR$191$191$191$191—
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