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NDC 59390021805

59390-0218-05 - fluorescein-benoxinate ophthalmic

Reported by 50 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

$0

Average

$571.5k

Median

$0

High

$28571.7k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$80$156$175$291$64
2Bluffton Health System LLCBluffton, IN$55$142$139$206$48
3Dukes Health System LLCPeru, IN$168$408$437$906$198
4Warsaw Health System LLCWarsaw, IN$72$202$201$322$68
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$174$356$384$727$136
6St. Joseph Health System, LLCIN 46802, IN$93$232$28571.7k$386$166598.6k
7Dupont Hospital LLCIN 46825, IN$62$131$142$230$53
8Natchez Hospital Company LLCNatchez, MS$75$450$606$1.5k$460
9East Georgia Regional Medical Center LLCGA 30458, GA$0$2$35$900$170
10Poplar Bluff Regional Medical Center LLCPoplar Bluff, MO$31$100$98$139$32
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