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NDC 62756042986

DALFAMPRIDINE ER 10 MG TABLET,EXTENDED RELEASE,12 HR

Reported by 14 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

Based on 13,760–13,985 billing samples across every hospital reporting.

Low

$260

Average

$303

Median

$283

High

$448

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.
1North Carolina Baptist HospitalBermuda Run, NC$324$429$2193,090–3,126$183$878
2Atrium Health Hospitals IncShelby, NC$277$276$1402,426–2,453$74$501
3The Charlotte Mecklenburg Hospital AuthorityMonroe, NC$246$273$1372,347–2,374$69$501
4The Charlotte Mecklenburg Hospital AuthorityConcord, NC$264$268$1392,206–2,260$65$501
5The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$264$269$1391,931–1,958$53$511
6The Charlotte Mecklenburg Hospital AuthorityAlbermarle, NC$316$306$151981$63$506
7The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$256$267$135761–788$53$485
8Carolinas Medical CenterCharlotte, NC$280$284$14316–25$100$527
9Carolinas Medical CenterCharlotte, NC$274$290$1191–10$115$474
10Carolinas Medical CenterCharlotte, NC$264$283$1171–10$115$485
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