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NDC 61938045603

61938-0456-03 - calfactant Susp

Reported by 36 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

$893

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$1.6k$1.8k$2.9k$658
4Foley Hospital Company LLCFoley, AL$1$2.0k$1.7k$2.4k$598
5Piney Woods Healthcare System LPLufkin, TX$85$986$893$1.4k$420
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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