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NDC 52244040010

THEOPHYLLINE CAP 400MG SR 24HR

Reported by 6 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

$3

Average

$14

Median

$16

High

$20

Hospitals reporting this code

#HospitalLocation
1UPMC Magee-Womens HospitalPittsburgh, PA$2$9$16$56$15
2UPMC St MargaretPittsburgh, PA$8$12$15$34$7
3UPMC PresbyterianPittsburgh, PA$2$9$20$52$18
4UPMC Passavant - McCandlessPittsburgh, PA$3$9$16$57$18
5UPMC EastMonroeville, PA$1$2$3$11$2
6UPMC Western Psychiatric HospitalPittsburgh, PA$3$6$15$52$17

Look up this code directly

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