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NDC 55111029309

55111-0293-09 - SUMAtriptan 100 mg Tab

Reported by 42 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

$2

Average

$680.3k

Median

$2

High

$28571.4k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$2$4$4$7$2
2Bluffton Health System LLCBluffton, IN$4$10$10$15$3
3Dukes Health System LLCPeru, IN$3$6$7$14$3
4Warsaw Health System LLCWarsaw, IN$4$11$11$17$4
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$4$8$8$16$3
6St. Joseph Health System, LLCIN 46802, IN$2$6$28571.4k$10$166598.6k
7Dupont Hospital LLCIN 46825, IN$2$3$4$6$1
8Durant HMA LLCDurant, OK$1$6$5$7$2
9Naples HMA LLCFL 34114, FL$9$28$29$51$16
10Affinity Hospital LLCBirmingham, AL$52$209$197$348$80
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