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NDC 59390021805

59390-0218-05 - fluorescein-benoxinate ophthalmic

Reported by 5 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

$59

Average

$392

Median

$284

High

$1.1k

Hospitals reporting this code

#HospitalLocation
1Bluffton Health System LLCBluffton, IN$55$59$59$206—
2Dukes Health System LLCPeru, IN$168$290$284$906$50
3St. Joseph Health System, LLCIN 46802, IN$93$386$386$386—
4Natchez Hospital Company LLCNatchez, MS$75$1.3k$1.1k$1.5k$450
5Poplar Bluff Regional Medical Center LLCPoplar Bluff, MO$31$100$100$139—

Look up this code directly

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