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NDC 63459060111

Arsenic Trioxide IV Soln 12 MG/6ML (2 MG/ML)

Reported by 53 hospitals in the network under the percent of billed charges 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 negotiated percentage of total billed charges.

National pricing summary

Low

$1.3k

Average

$2.7k

Median

$2.2k

High

$7.8k

Hospitals reporting this code

#HospitalLocation
1Sanford Medical Center BismarckBismarck, ND$8$1.4k$1.3k$1.5k$216
2Sanford USD Medical CenterSioux Falls, SD$8$1.5k$1.4k$1.7k$328
3IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$44$2.6k$2.4k$3.3k$688
4Good Samaritan Medical Center, Llc DbaLAFAYETTE, CO$2.1k$6.6k$6.6k$11.6k$2.7k
5Carolinas Medical CenterCharlotte, NC$8$2.4k$2.6k$4.3k$1.0k
6North Carolina Baptist HospitalBermuda Run, NC$6$2.1k$2.9k$5.9k$1.5k
7Carolinas Medical CenterCharlotte, NC$8$2.5k$2.7k$4.3k$1.0k
8Carolinas Medical CenterCharlotte, NC$8$2.4k$2.6k$4.4k$1.1k
9The Charlotte Mecklenburg Hospital AuthorityConcord, NC$8$2.4k$2.5k$4.5k$1.2k
10The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$8$2.4k$2.5k$4.6k$1.2k
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