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NDC 63323014397

63323-0143-97 - trace elements - Soln

Reported by 38 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

$26

Average

$752.0k

Median

$65

High

$28571.6k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$69$135$152$253$56
2Lutheran Musculoskeletal Center LLCFort Wayne, IN$67$137$148$280$52
3St. Joseph Health System, LLCIN 46802, IN$63$159$28571.6k$264$166598.6k
4Northwest Sahurita Hospital LLCAZ 85748, AZ$10$22$26$78$20
5Northwest Sahurita Hospital LLCAZ 85629, AZ$10$22$26$78$20
6Roswell Hospital CorporationRoswell, NM$44$158$146$200$41
7Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$44$135$133$236$57
8Good Samaritan Medical Center, Llc DbaLAFAYETTE, CO$44$135$135$236$56
9Memorial Hospital of Laramie CountyCheyenne, WY$107$129$126$141$9
10Baylor Scott & White Medical Center - TempleTemple, TX$16$63$63$97$18
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