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NDC 51079056301

51079-0563-01 - amitriptyline 100 mg Tab

Reported by 37 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

$772.2k

Median

$1

High

$28571.4k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$2$5$5$9$2
2Bluffton Health System LLCBluffton, IN$2$6$6$8$2
3Dukes Health System LLCPeru, IN$3$8$8$17$4
4Lutheran Musculoskeletal Center LLCFort Wayne, IN$5$10$10$19$4
5St. Joseph Health System, LLCIN 46802, IN$3$7$28571.4k$12$166598.6k
6Dupont Hospital LLCIN 46825, IN$2$4$5$7$2
7Affinity Hospital LLCBirmingham, AL$7$29$27$48$11
8Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$3$10$10$17$4
9Baylor Scott & White Medical Center - TempleTemple, TX$0$1$1$2$0
10Baylor Scott & White Medical Center - BrenhamBrenham, TX$0$1$1$2$1
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