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NDC 43975026403

MEMANTINE 14 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR

Reported by 13 hospitals in the network under the percent of billed charges 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 a negotiated percentage of total billed charges.

National pricing summary

Based on 13,754–13,925 billing samples across every hospital reporting.

Low

$210

Average

$237

Median

$229

High

$346

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.
1North Carolina Baptist HospitalBermuda Run, NC$261$346$1773,090–3,126$148$709
2Atrium Health Hospitals IncShelby, NC$227$230$1072,424–2,433$60$404
3The Charlotte Mecklenburg Hospital AuthorityMonroe, NC$198$221$1102,347–2,374$55$404
4The Charlotte Mecklenburg Hospital AuthorityConcord, NC$213$223$1072,204–2,240$52$404
5The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$213$221$1101,930–1,948$43$413
6The Charlotte Mecklenburg Hospital AuthorityAlbermarle, NC$255$247$122981$51$409
7The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$207$216$109761–788$43$392
8Carolinas Medical CenterCharlotte, NC$226$229$11516–25$81$426
9Carolinas Medical CenterCharlotte, NC$213$229$941–10$93$392
10Carolinas Medical CenterCharlotte, NC$215$229$93—$93$383
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