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NDC 548540000

Medroxyprogesterone Acetate IM Susp 150 MG/ML

Reported by 20 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

Based on 37–55 billing samples across every hospital reporting.

Low

$55

Average

$113

Median

$110

High

$284

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.
1Bexar County Hospital DistrictSan Antonio, TX$99$105$5537–55$57$383
2Sanford Fargo Medical CenterFargo, ND$57$55$18—$1$73
3Sanford USD Medical CenterSioux Falls, SD$302$284$97—$1$386
4Sanford Aberdeen Medical CenterAberdeen, SD$95$87$18—$51$106
5IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$81$74$20—$2$101
6Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$152$150$64—$49$266
7IHC Health Services Inc., DBA Intermountain Health American Fork HospitalAmerican Fork, UT$80$74$20—$2$101
8IHC Health Services Inc., DBA Intermountain Health Layton HospitalLayton, UT$80$74$21—$5$113
9Intermountain Front Range Inc. Dba Intermountain Health Lutheran HospitalWHEAT RIDGE, CO$152$150$62—$49$266
10IHC Health Services, Inc,. DBA Intermountain Health Alta View HospitalSandy, UT$80$73$21—$3$101
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