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  5. /Percent of billed charges

NDC 61703-0305-58

CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJ SOLN

Reported by 24 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

Low

$6

Average

$57

Median

$30

High

$163

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.
1Northwestern Medicine Central DuPage HospitalWinfield, IL$145$139$91—$19$269
2Northwestern Memorial HospitalChicago, IL$28$80$93—$5$269
3Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$15$17$7—$6$32
4Palos Community HospitalPalos Heights, IL$21$18$9—$4$28
5Saint Marys HospitalWaterbury, CT$14$14$2—$1$18
6Saint Alphonsus Regional Medical Center - BoiseBoise, ID$27$26$3—$1$30
7Saint Francis Hospital and Medical CenterHartford, CT$12$13$1—$1$15
8Mercy Health Lakeshore CampusShelby, MI$26$25$5—$1$28
9Mercy Health Services-Iowa Corp.Mason City, IA$16$19$5—$1$30
10Mishawaka Medical CenterMishawaka, IN$19$20$5—$1$30
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