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NDC 65219038305

Iodixanol inj 320 mg Iodine/mL (50 mL) VISIPAQUE

Reported by 11 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$0

Average

$17

Median

$0

High

$55

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.
1USC Arcadia HospitalArcadia, CA$0$0$0—$0$5
2Lenoir Memorial HospitalKinston, NC$0$0——$0$50
3The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of PennsylvaniaPhiladelphia, PA$0$27$61—$0$164
4Pennsylvania Hospital of the University of Pennsylvania Health SystemPhiladelphia, PA$0$33$66—$0$164
5Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical CenterPhiladelphia, PA$0$32$60—$0$164
6The Chester County HospitalWest Chester, PA$0$39$64—$0$164
7Penn Medicine Princeton Medical CenterPlainsboro, NJ$0$55$77—$0$164
8Norton Hospitals INCLouisville, KY$0$0——$0$191
9Norton Hospitals INCLouisville, KY$0$0——$0$191
10Norton Hospitals INCLouisville, KY$0$0——$0$191
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