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NDC 63323-0106-02

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

Reported by 24 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

$1

Average

$58

Median

$66

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
6Winneshiek Medical CenterDecorah, IA$37$59$57$62$7
7Vanderbilt Wilson County HospitalLebanon, TN$2$108$96$133$29
8Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$2$101$99$133$25
9Vanderbilt University Medical CenterNashville, TN$2$98$92$133$30
10Vanderbilt Bedford HospitalShelbyville, TN$2$101$99$133$25
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