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NDC 64850051401

DEXTROAMPHETAMINE-AMPHETAMINE ER 25 MG 24HR CAPSULE,EXTEND RELEASE

Reported by 20 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

Based on 13,762–14,005 billing samples across every hospital reporting.

Low

$1

Average

$194

Median

$126

High

$449

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1North Carolina Baptist HospitalBermuda Run, NC$338$449$2293,090–3,126$192$917
2Atrium Health Hospitals IncShelby, NC$123$123$622,426–2,453$33$223
3The Charlotte Mecklenburg Hospital AuthorityMonroe, NC$109$122$612,347–2,374$31$223
4The Charlotte Mecklenburg Hospital AuthorityConcord, NC$117$119$622,206–2,260$29$223
5The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$117$120$621,931–1,958$23$228
6The Charlotte Mecklenburg Hospital AuthorityAlbermarle, NC$141$136$67981$28$225
7The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$114$119$60761–788$23$216
8Carolinas Medical CenterCharlotte, NC$125$126$6416–25$45$235
9The Medical Center of Central Georgia IncMacon, GA$364$372$912–20$167$518
10Carolinas Medical CenterCharlotte, NC$122$129$531–10$51$211
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