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NDC 55111029309

55111-0293-09 - SUMAtriptan 100 mg Tab

Reported by 5 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$4

Average

$68

Median

$10

High

$278

Hospitals reporting this code

#HospitalLocation
1Bluffton Health System LLCBluffton, IN$4$4$4$15—
2Dukes Health System LLCPeru, IN$3$5$4$14$1
3St. Joseph Health System, LLCIN 46802, IN$2$10$10$10—
4Naples HMA LLCFL 34114, FL$9$51$45$51$12
5Affinity Hospital LLCBirmingham, AL$52$278$278$348$70

Look up this code directly

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