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NDC 58160082043

HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY

Reported by 47 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$23

Average

$37

Median

$37

High

$74

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$31$32$31$116$1
2Trinity Medical CenterRock Island, IL$30$31$31$96$1
3Trinity Medical CenterBettendorf, IA$31$32$31$76$1
4Trinity Regional Medical CenterFort Dodge, IA$31$32$31$123$1
5Allen Memorial Hospital CorporationWaterloo, IA$31$32$31$94$1
6Sanford Medical Center BismarckBismarck, ND$20$30$30$40—
7UPMC Horizon - GreenvilleGreenville, PA$11$31$37$134$35
8UPMC LititzLititz, PA$7$32$46$216$56
9UPMC MuncyMuncy, PA$11$32$27$75$17
10UPMC HamotErie, PA$11$29$35$100$25
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