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NDC 54643-5646-1

MVI PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN

Reported by 11 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

$1

Average

$104

Median

$142

High

$198

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.
1Sharp Chula Vista Medical CenterChula Vista, CA$1$1$0—$0$1
2Sharp Mesa Vista HospitalSan Diego, CA$1$1$0—$0$1
3Sharp Memorial HospitalSan Diego, CA$1$1$0—$0$1
4Grossmont Hospital CorporationLa Mesa, CA$1$4$19—$0$120
5Sharp Coronado Hospital and Healthcare CenterCoronado, CA$1$6$25—$0$120
6Southeast Texas Orthopedic Specialty CenterPort Arthur, TX$224$198$39—$125$224
7Christus Health Southeast TexasPort Arthur, TX$224$198$39—$125$224
8Christus Health Southeast TexasBeaumont, TX$224$198$39—$125$224
9CHRISTUS Hospital - OrangeOrange, TX$224$198$39—$125$224
10CHRISTUS West BeaumontBeaumont, TX$224$198$39—$125$224
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