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NDC 54092019112

54092-0191-12 - mesalamine 500. mg Cap-ER

Reported by 16 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

Based on 6–60 billing samples across every hospital reporting.

Low

$1

Average

$24

Median

$17

High

$65

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1The Charlotte Mecklenburg Hospital AuthorityConcord, NC$1$1—2–20$331$2.6k
2Atrium Health Hospitals IncShelby, NC$2$2—2–20$377$2.6k
3Carolinas Medical CenterCharlotte, NC$16$16—1–10$588$2.4k
4The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$1$1—1–10$269$2.6k
5Bluffton Health System LLCBluffton, IN$32$32——$30$111
6Dukes Health System LLCPeru, IN$39$38$7—$22$121
7St. Joseph Health System, LLCWayne, IN$65$65——$16$65
8Wesley Health System LLCHattiesburg, MS$38$38$5—$5$43
9Metro Knoxville HMA LLCKnoxville, TN$32$32——$14$52
10Metro Knoxville HMA LLCPowell, TN$32$32——$14$74
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Look up this code directly

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