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NDC 64980017750

64980-0177-50 - chloroquine 250 mg Tab

Reported by 38 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

$3

Average

$751.9k

Median

$4

High

$28571.5k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$9$17$19$32$7
2Bluffton Health System LLCBluffton, IN$21$55$54$80$19
3Dukes Health System LLCPeru, IN$15$35$38$78$17
4Warsaw Health System LLCWarsaw, IN$21$59$59$95$20
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$21$44$47$89$17
6St. Joseph Health System, LLCIN 46802, IN$10$25$28571.5k$42$166598.6k
7Dupont Hospital LLCIN 46825, IN$6$12$13$21$5
8Sanford Medical Center BismarckBismarck, ND$2$5$5$6$1
9Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$8$26$26$46$11
10Baylor Scott & White Medical Center - TempleTemple, TX$1$4$4$6$1
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