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NDC 64011024301

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

Reported by 36 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

$137

Average

$1.7k

Median

$1.4k

High

$15.8k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$63$122$137$254$51
2Lutheran Musculoskeletal Center LLCFort Wayne, IN$103$208$225$429$80
3St. Joseph Health System, LLCWayne, IN$79$269$289$467$106
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$1.4k$1.4k$2.2k$396
8Baylor Scott & White Medical Center - BrenhamBrenham, TX$19$1.3k$1.1k$2.2k$607
9Baylor Scott & White Medical Center - TaylorTaylor, TX$19$1.3k$1.2k$1.9k$503
10Baylor Scott & White Medical Center - HillcrestWaco, TX$19$1.3k$1.3k$2.0k$372
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