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NDC 51079048701

51079-0487-01 - fluPHENAZine 5 mg Tab

Reported by 12 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

$2

Average

$16

Median

$12

High

$38

Hospitals reporting this code

#HospitalLocation
1Bluffton Health System LLCBluffton, IN$12$13$13$46—
2Dukes Health System LLCPeru, IN$7$12$11$37$2
3St. Joseph Health System, LLCIN 46802, IN$6$25$25$25—
4Oro Valley Hospital LLCTucson, AZ$2$4$6$15$2
5Northwest Hospital LLCAZ 85741, AZ$2$4$5$15$2
6Metro Knoxville HMA LLCKnoxville, TN$14$32$32$51—
7Metro Knoxville HMA LLCPowell, TN$14$32$32$72—
8Triad of Alabama LLCAL 36305, AL$4$4$4$4—
9Affinity Hospital LLCBirmingham, AL$7$38$38$48$10
10Gadsden Regional Medical Center LLCGadsden, AL$2$2$2$2—
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