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NDC 63323018520

sterile water Soln-Inj 20 mL

Reported by 17 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$4

Average

$76

Median

$19

High

$526

Hospitals reporting this code

#HospitalLocation
1Naples HMA LLCNaples, FL$11$58$53$58$13
2Naples HMA LLCFL 34114, FL$11$58$51$58$14
3Naples HMA LLCNaples, FL$11$58$53$58$13
4Northwest Sahurita Hospital LLCAZ 85748, AZ$7$16$15$52$0
5Northwest Sahurita Hospital LLCAZ 85629, AZ$7$16$15$52$0
6Oro Valley Hospital LLCTucson, AZ$8$16$19$52$6
7Northwest Hospital LLCAZ 85741, AZ$8$16$19$52$6
8Metro Knoxville HMA LLCKnoxville, TN$14$33$33$53—
9Affinity Hospital LLCBirmingham, AL$99$526$526$657$131
10Foley Hospital Company LLCFoley, AL$1$4$4$8$4
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