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NDC 49281072588

FLU VAC TV 2025(9 YR UP)RCM-PF 135 MCG (45 MCG X 3)/0.5 ML IM SYRG

Reported by 8 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

Low

$54

Average

$76

Median

$80

High

$97

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$15$54$54$78$17
2University of Iowa Health Care Medical CenterIowa City, IA$21$54$54$78$16
3UPMC LititzLititz, PA$14$73$78$133$29
4UPMC MemorialYork, PA$14$82$83$133$32
5UPMC HanoverHanover, PA$14$106$97$136$34
6UPMC CarlisleCarlisle, PA$14$73$76$133$30
7UPMC Pinnacle HospitalsHarrisburg, PA$14$96$88$133$35
8UPMC SomersetSomerset, PA$11$78$83$117$22

Look up this code directly

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