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NDC 45802049383

45802-0493-83 - ammonium lactate topical 12 Cream

Reported by 9 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$5

Average

$37

Median

$19

High

$129

Hospitals reporting this code

#HospitalLocation
1Bluffton Health System LLCBluffton, IN$17$19$19$65—
2Dukes Health System LLCPeru, IN$17$30$30$94$5
3St. Joseph Health System, LLCIN 46802, IN$11$47$47$47—
4Oro Valley Hospital LLCTucson, AZ$7$15$18$49$6
5Metro Knoxville HMA LLCKnoxville, TN$2$5$5$8—
6Metro Knoxville HMA LLCPowell, TN$2$5$5$11—
7Affinity Hospital LLCBirmingham, AL$24$129$129$161$32
8Gadsden Regional Medical Center LLCGadsden, AL$69$69$69$69—
9Laredo Texas Hospital Company LPLaredo, TX$6$12$12$113$0

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