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NDC 42858-104-01

OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864]

Reported by 2 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

$1

Average

$4

Median

$4

High

$7

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.
1GRMC, Inc.Oakland, MD$1$1$0—$1$1
2St. Frances Cabrini HospitalAlexandria, LA$7$7$2—$3$8

Look up this code directly

Ask Claude or any MCP client for NDC 42858-104-01 pricing at a specific hospital — see how to connect.

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