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NDC 63323019305

63323-0193-05 - irinotecan 100. Soln

Reported by 10 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

$402

Median

$204

High

$1.7k

Hospitals reporting this code

#HospitalLocation
1Bluffton Health System LLCBluffton, IN$160$174$174$602—
2Dukes Health System LLCPeru, IN$178$308$302$962$54
3Northwest Hospital LLCAZ 85741, AZ$2$2$4$16$2
4Metro Knoxville HMA LLCPowell, TN$3$6$6$15—
5Triad of Alabama LLCAL 36305, AL$2$625$625$1.2k$623
6Affinity Hospital LLCBirmingham, AL$2$1.7k$1.7k$2.1k$429
7Gadsden Regional Medical Center LLCGadsden, AL$226$226$226$226—
8Laredo Texas Hospital Company LPLaredo, TX$8$15$15$149$0
9Poplar Bluff Regional Medical Center LLCPoplar Bluff, MO$237$769$769$1.1k—
10La Porte Hospital Company LLCLa Porte, IN$183$183$183$634—

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