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NDC 64011024301

64011-0243-01 - hydroxyprogesterone 250 mg/mL Soln

Reported by 36 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

$135

Average

$704.8k

Median

$1.3k

High

$25316.7k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$63$121$135$254$54
2Lutheran Musculoskeletal Center LLCFort Wayne, IN$103$207$223$429$87
3St. Joseph Health System, LLCWayne, IN$79$257$25316.7k$467$157084.4k
4Sanford Behavioral Health Thief River FallsThief River Falls, MN$742$1.6k$1.5k$2.0k$440
5Sanford Thief River Falls Medical CenterThief River Falls, MN$742$1.6k$1.5k$2.0k$440
6St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$7.5k$17.9k$15.8k$20.8k$3.7k
7Baylor Scott & White Medical Center - TempleTemple, TX$19$1.3k$1.3k$2.2k$585
8Baylor Scott & White Medical Center - BrenhamBrenham, TX$19$1.2k$979$2.2k$658
9Baylor Scott & White Medical Center - TaylorTaylor, TX$19$1.2k$1.1k$1.9k$589
10Baylor Scott & White Medical Center - HillcrestWaco, TX$19$1.3k$1.2k$2.0k$554
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