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NDC 4988476452

FENTANYL 100 MCG/HR TRANSDERMAL PATCH

Reported by 49 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

$10

Average

$36

Median

$13

High

$94

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$28$56$61$103$24
2Catholic Health Initiatives ColoradoSalt Lake City, UT$42$63$72$117$21
3Catholic Health Initiatives ColoradoColorado Springs, CO$32$59$68$103$24
4Catholic Health Initiatives ColoradoLehi, UT$42$63$72$117$21
5St Francis HospitalColorado Springs, CO$28$53$57$100$21
6Longmont United HospitalLongmont, CO$28$47$57$105$25
7Catholic Health Initiatives ColoradoFrisco, CO$32$70$77$108$25
8Commonspirit Kansas, Inc.Ulysses, KS$37$98$82$111$31
9Commonspirit Kansas, Inc.Dodge City, KS$41$94$90$105$16
10Catholic Health Initiatives ColoradoPueblo, CO$32$68$69$103$24
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