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NDC 65219038305

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

Reported by 12 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Based on 2,234–2,459 billing samples across every hospital reporting.

Low

$3

Average

$105

Median

$113

High

$221

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.
1Norton Hospitals INCLouisville, KY$96$72$51642–696$0$211
2Norton Hospitals INCLouisville, KY$12$34$36515$0$211
3Norton Hospitals INCLouisville, KY$97$79$50330–420$0$211
4Bexar County Hospital DistrictSan Antonio, TX$99$183$119344–362$81$545
5Norton Hospitals INCLouisville, KY$16$48$40287–341$0$211
6Norton Hospitals INCLouisville, KY$221$221$124100$2$346
7USC Arcadia HospitalArcadia, CA$3$3$016–25$0$5
8The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of PennsylvaniaPhiladelphia, PA$164$118$58—$0$164
9Pennsylvania Hospital of the University of Pennsylvania Health SystemPhiladelphia, PA$164$135$49—$0$164
10Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical CenterPhiladelphia, PA$164$134$50—$0$164
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