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NDC 59762010406

59762-0104-06 - sulfaSALAzine 500 mg Tab-DR

Reported by 26 hospitals in the network under the percent of billed charges 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 negotiated percentage of total billed charges.

National pricing summary

Based on 13,754–13,925 billing samples across every hospital reporting.

Low

$1

Average

$112

Median

$114

High

$250

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1North Carolina Baptist HospitalBermuda Run, NC$189$250$1283,090–3,126$107$512
2Atrium Health Hospitals IncShelby, NC$218$221$1032,424–2,433$57$388
3The Charlotte Mecklenburg Hospital AuthorityMonroe, NC$190$212$1062,347–2,374$53$388
4The Charlotte Mecklenburg Hospital AuthorityConcord, NC$204$214$1032,204–2,240$50$388
5The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$204$212$1051,930–1,948$41$396
6The Charlotte Mecklenburg Hospital AuthorityAlbermarle, NC$245$237$117981$49$392
7The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$198$207$105761–788$41$375
8Carolinas Medical CenterCharlotte, NC$217$220$11116–25$78$408
9Carolinas Medical CenterCharlotte, NC$204$219$911–10$89$375
10Bluffton Health System LLCBluffton, IN$4$4$1—$2$6
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