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NDC 60687069501

SUCRALFATE 1 G PO TABS

Reported by 69 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

$48

Median

$1

High

$352

Hospitals reporting this code

#HospitalLocation
1Northwest Iowa Hospital CorporationSioux City, IA$0$1$1$1$0
2Sanford Fargo Medical CenterFargo, ND$0$1$1$1$0
3Sanford Medical Center BismarckBismarck, ND$1$1$1$2$0
4Sanford USD Medical CenterSioux Falls, SD$0$1$1$1$0
5Sanford Worthington Medical CenterWorthington, MN$1$1$1$1$0
6Sanford Tracy HospitalTracy, MN$0$1$1$1$0
7Gottlieb Memorial HospitalMelrose Park, IL$0$1$1$1$0
8Northside Hospital, Inc.Lawrenceville, GA$4$16$17$25$6
9Northside Hospital, Inc.Canton, GA$3$16$16$25$6
10Northside Hospital, Inc.Atlanta, GA$4$16$16$25$6
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