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NDC 54288014701

Methylene Blue IV Soln 1%

Reported by 85 hospitals in the network under the percent of billed charges 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 percentage of total billed charges.

National pricing summary

Low

$209

Average

$587

Median

$548

High

$1.3k

Hospitals reporting this code

#HospitalLocation
1Sanford Bagley Medical CenterBagley, MN$8$238$209$259$51
2Sanford Clear Lake Medical CenterClear Lake, SD$184$296$277$333$50
3Sanford Canby Medical CenterCanby, MN$8$296$271$339$65
4Sanford Tracy HospitalTracy, MN$8$295$263$334$72
5UPMC Magee-Womens HospitalPittsburgh, PA$1$349$380$624$139
6UPMC PresbyterianPittsburgh, PA$1$542$482$576$109
7UPMC Passavant - McCandlessPittsburgh, PA$1$424$427$631$155
8UPMC Horizon - GreenvilleGreenville, PA$1$170$222$362$70
9UPMC HamotErie, PA$1$212$254$424$104
10UPMC ChautauquaJamestown, NY$6$239$233$287$28
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