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NDC 63323-0106-02

MAGNESIUM SULFATE IN WATER 2 GRAM/50 ML (4 %) IV PGBK

Reported by 34 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

$1

Average

$31

Median

$21

High

$168

Hospitals reporting this code

#HospitalLocation
1Northwestern Memorial HospitalChicago, IL$6$72$90$236$77
2Northwestern Medicine Kishwaukee HospitalDeKalb, IL$43$172$168$236$51
3Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$4$11$12$22$5
4Northwestern Medicine Delnor HospitalGeneva, IL$12$55$48$80$22
5Northwestern Medicine Marianjoy Rehabilitation HospitalWheaton, IL$20$28$31$47$8
6Commonspirit OregonPendleton, OR$42$116$101$122$26
7Winneshiek Medical CenterDecorah, IA$37$59$57$62$7
8Vanderbilt Wilson County HospitalLebanon, TN$2$3$24$133$41
9Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$2$4$39$133$49
10Vanderbilt University Medical CenterNashville, TN$2$3$24$133$41
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