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NDC 63323025410

63323-0254-10 - mineral oil 100 Liquid

Reported by 30 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

$3

Average

$54

Median

$51

High

$136

Hospitals reporting this code

#HospitalLocation
1Bluffton Health System LLCBluffton, IN$7$8$8$27—
2Dukes Health System LLCPeru, IN$13$22$22$69$4
3St. Joseph Health System, LLCIN 46802, IN$18$75$75$75—
4Natchez Hospital Company LLCNatchez, MS$5$91$80$106$32
5Wesley Health System LLCHattiesburg, MS$15$121$121$138$17
6Naples HMA LLCNaples, FL$27$149$136$149$34
7Naples HMA LLCFL 34114, FL$27$149$131$149$35
8Vicksburg Healthcare LLCVicksburg, MS$19$103$99$137$40
9Naples HMA LLCNaples, FL$27$149$136$149$34
10Northwest Sahurita Hospital LLCAZ 85748, AZ$2$4$4$13$0
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