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NDC 51862032001

LIOTHYRONINE SODIUM 5 MCG PO TABS

Reported by 62 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

$0

Average

$41

Median

$1

High

$353

Hospitals reporting this code

#HospitalLocation
1Northwest Iowa Hospital CorporationSioux City, IA$1$1$1$2$0
2Central Iowa Hospital CorporationDes Moines, IA$0$1$1$1$0
3Central Iowa Hospital CorporationDes Moines, IA$0$1$1$1$0
4Sanford Fargo Medical CenterFargo, ND$0$1$1$1$0
5Sanford Behavioral Health Thief River FallsThief River Falls, MN$2$5$4$6$1
6Sanford Medical Center BismarckBismarck, ND$1$1$1$2$0
7Sanford USD Medical CenterSioux Falls, SD$0$1$1$1$0
8Sanford Thief River Falls Medical CenterThief River Falls, MN$2$5$4$6$1
9Sanford Sheldon Medical CenterSheldon, IA$0$1$1$1$0
10Sanford Tracy HospitalTracy, MN$0$1$1$1$0
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