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NDC 64406000501

DIMETHYL FUMARATE 120MG DR CAP

Reported by 5 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

$250

Median

$269

High

$311

Hospitals reporting this code

#HospitalLocation
1UPMC Magee-Womens HospitalPittsburgh, PA$86$238$269$546$106
2UPMC PresbyterianPittsburgh, PA$86$356$311$485$95
3UPMC Passavant - McCandlessPittsburgh, PA$119$219$272$442$105
4UPMC EastMonroeville, PA$36$120$137$335$52
5UPMC Western Psychiatric HospitalPittsburgh, PA$119$261$262$404$98

Look up this code directly

Ask Claude or any MCP client for NDC 64406000501 pricing at a specific hospital — see how to connect.

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