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NDC 58160095801

MENINGOCOCCAL A C YW-135 OLIG IM SOLR

Reported by 66 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

$176

Average

$417

Median

$418

High

$907

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$148$207$257$545$122
2Northwest Iowa Hospital CorporationSioux City, IA$105$201$198$261$45
3Sanford Medical Center BismarckBismarck, ND$104$170$176$204$28
4Sanford USD Medical CenterSioux Falls, SD$152$342$311$446$116
5Sanford Vermillion HospitalVermillion, SD$97$231$213$295$75
6IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$10$496$456$620$124
7IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$7$496$456$689$129
8IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$9$496$453$620$126
9Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$512$761$753$889$118
10Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$297$919$907$1.6k$389
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