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NDC 61958120101

61958-1201-01 - cobicistat/elvitegravir/emtricitab

Reported by 13 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Based on 6–60 billing samples across every hospital reporting.

Low

$1

Average

$409

Median

$342

High

$1.5k

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.
1The Charlotte Mecklenburg Hospital AuthorityConcord, NC$1$1—2–20$2.0k$15.5k
2Atrium Health Hospitals IncShelby, NC$2$2—2–20$2.3k$15.5k
3Carolinas Medical CenterCharlotte, NC$16$16—1–10$3.6k$14.7k
4The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$1$1—1–10$1.6k$15.9k
5St. Joseph Health System, LLCWayne, IN$757$757——$182$757
6Natchez Hospital Company LLCNatchez, MS$1.2k$1.0k$413—$69$1.4k
7Vicksburg Healthcare LLCVicksburg, MS$1.5k$1.5k$603—$279$2.0k
8La Porte Hospital Company LLCLa Porte, IN$301$301——$301$1.0k
9Northside Hospital, Inc.Lawrenceville, GA$406$345$177—$116$770
10Northside Hospital, Inc.Canton, GA$418$342$189—$86$770
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