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NDC 51079011901

51079-0119-01 - dicyclomine 20 mg Tab

Reported by 57 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

$501.3k

Median

$1

High

$28571.4k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$1$3$3$5$1
2Bluffton Health System LLCBluffton, IN$1$3$3$4$1
3Dukes Health System LLCPeru, IN$2$4$5$10$2
4Warsaw Health System LLCWarsaw, IN$3$7$7$12$3
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$3$5$6$11$2
6St. Joseph Health System, LLCIN 46802, IN$2$4$28571.4k$7$166598.6k
7Dupont Hospital LLCIN 46825, IN$1$2$3$4$1
8Metro Knoxville HMA LLCPowell, TN$1$3$3$6$2
9Affinity Hospital LLCBirmingham, AL$7$29$27$48$11
10Mat-Su Valley Medical Center LLCAK 99645, AK$0$2$1$2$0
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