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NDC 57771000121

d-mannose oral powder

Reported by 30 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

$67

Average

$99

Median

$90

High

$434

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$23$86$87$135$25
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$19$80$67$135$37
3Baylor Scott & White Medical Center - TaylorTaylor, TX$29$81$72$120$31
4Baylor Scott & White Medical Center - HillcrestWaco, TX$18$83$82$128$23
5Baylor University Medical CenterDallas, TX$26$93$434$7.4k$1.5k
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$24$92$85$128$28
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$30$89$90$135$24
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$23$84$85$128$22
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$17$92$87$128$26
10Baylor Scott & White Medical Center - PlanoPlano, TX$18$93$90$128$23
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