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NDC 63739-0645-10

FAMOTIDINE 20 MG TABLET

Reported by 10 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$0

Average

$46

Median

$27

High

$188

Hospitals reporting this code

#HospitalLocation
1Alegent Health Memorial Hospital, SchuylerSchuyler, NE$7$31$27$36$7
2Alegent Creighton HealthPlainview, NE$20$31$28$43$5
3Alegent Health Community Memorial Hospital Of Missouri Valley, IowaMissouri Valley, IA$11$31$26$31$8
4Alegent Health - Mercy Hospital, Corning IowaCorning, IA$14$31$30$71$8
5Saint Joseph Health System, IncMt. Sterling, KY$83$184$188$360$98
6Saint Joseph Health System, IncLondon, KY$57$85$163$360$124
7Vanderbilt Wilson County HospitalLebanon, TN$0$0$0$1—
8Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$0$0$0$1—
9Vanderbilt University Medical CenterNashville, TN$0$0$0$1—
10Vanderbilt Bedford HospitalShelbyville, TN$0$0$0$1—

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