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NDC 54288014701

Methylene Blue IV Soln 1%

Reported by 6 hospitals in the network under the case rate 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 negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$8

Average

$1.1k

Median

$9

High

$6.9k

Hospitals reporting this code

#HospitalLocation
1Sanford Bagley Medical CenterBagley, MN$8$8$8$258—
2Sanford Canby Medical CenterCanby, MN$8$8$8$337—
3Sanford Tracy HospitalTracy, MN$8$8$8$332—
4Floyd Healthcare Management IncRome, GA$9$9$10$1.1k$2
5Baylor University Medical CenterDallas, TX$340$6.9k$6.9k$7.4k$556
6Columbus Regional Healthcare System, IncWhiteville, NC$9$9$9$713—

Look up this code directly

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