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NDC 61938045603

61938-0456-03 - calfactant Susp

Reported by 36 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

$587

Average

$1.3k

Median

$1.2k

High

$2.2k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$1.0k$2.0k$2.2k$3.7k$825
2Lutheran Musculoskeletal Center LLCFort Wayne, IN$920$1.9k$2.0k$3.8k$717
3St. Joseph Health System, LLCWayne, IN$698$1.7k$1.8k$2.9k$667
4Foley Hospital Company LLCFoley, AL$1$2.0k$1.7k$2.4k$665
5Piney Woods Healthcare System LPLufkin, TX$85$265$587$1.4k$464
6Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$1.4k$2.1k$2.1k$2.4k$324
7Baylor Scott & White Medical Center - TempleTemple, TX$307$1.2k$1.2k$1.8k$342
8Baylor Scott & White Medical Center - BrenhamBrenham, TX$253$1.1k$917$1.8k$505
9Baylor Scott & White Medical Center - TaylorTaylor, TX$389$1.1k$981$1.6k$421
10Baylor Scott & White Medical Center - HillcrestWaco, TX$245$1.1k$1.1k$1.7k$319
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