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NDC 57664005799

57664-0057-99 - amLODIPine 10 mg Tab

Reported by 12 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

$0

Average

$6

Median

$1

High

$38

Hospitals reporting this code

#HospitalLocation
1St. Joseph Health System, LLCIN 46802, IN$1$3$3$3—
2Northwest Sahurita Hospital LLCAZ 85748, AZ$0$0$0$2$0
3Northwest Sahurita Hospital LLCAZ 85629, AZ$0$0$0$2$0
4Oro Valley Hospital LLCTucson, AZ$0$0$1$2$0
5Metro Knoxville HMA LLCKnoxville, TN$0$1$1$1—
6Metro Knoxville HMA LLCPowell, TN$0$1$1$2—
7Affinity Hospital LLCBirmingham, AL$7$38$38$48$10
8Gadsden Regional Medical Center LLCGadsden, AL$20$20$20$20—
9Laredo Texas Hospital Company LPLaredo, TX$1$3$3$27$0
10Poplar Bluff Regional Medical Center LLCPoplar Bluff, MO$1$3$3$4—
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