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NDC 63323-0165-05

DEXAMETHASONE SOD PHOS (4 MG/ML) INJECTION (PEDS FROM VIAL)

Reported by 121 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 11,191–11,794 billing samples across every hospital reporting.

Low

$0

Average

$142

Median

$12

High

$4.3k

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.
1University of Wisconsin Hospital and Clinics AuthorityMadison, WI$77$76$264,293–4,302$0$117
2Dignity Community CareNorthridge, CA$6$9$101,114–1,132$0$33
3Dignity HealthSacramento, CA$4$12$16925–979$0$40
4Dignity Community CareLos Angeles, CA$12$15$12917–971$0$36
5Dignity HealthLong Beach, CA$6$18$22679–733$0$82
6Saint Joseph Health System, IncLexington, KY$22$23$13631$0$48
7Mercy Medical CenterWilliston, ND$15$13$5575$0$18
8Flaget Healthcare, IncBardstown, KY$39$28$17565–574$0$48
9Dignity Community CareGlendale, CA$11$20$22342–396$0$69
10St Joseph's Hospital And Health CenterDickinson, ND$22$20$7240$0$27
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Look up this code directly

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