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NDC 63739020010

63739-0200-10 - phenobarbital 16.2 mg Tab

Reported by 39 hospitals in the network.

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.

National pricing summary

Low

$1

Average

$732.6k

Median

$1

High

$28571.4k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$1$1$1$2$0
2Bluffton Health System LLCBluffton, IN$1$3$3$4$1
3Lutheran Musculoskeletal Center LLCFort Wayne, IN$1$2$2$5$1
4St. Joseph Health System, LLCIN 46802, IN$1$2$28571.4k$3$166598.6k
5Northwest Sahurita Hospital LLCAZ 85748, AZ$0$0$1$2$0
6Northwest Sahurita Hospital LLCAZ 85629, AZ$0$0$1$2$0
7Affinity Hospital LLCBirmingham, AL$7$29$27$48$11
8Gadsden Regional Medical Center LLCGadsden, AL$0$1$62$1.5k$299
9East Georgia Regional Medical Center LLCGA 30458, GA$0$1$34$900$170
10Poplar Bluff Regional Medical Center LLCPoplar Bluff, MO$1$3$2$4$1
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