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NDC 65628027205

KONVOMEP 2-84 MG/ML PO SUSR

Reported by 33 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

$13

Average

$273

Median

$295

High

$330

Hospitals reporting this code

#HospitalLocation
1Gundersen Luthern Medical Center IncLa Crosse, WI$15$35$31$44$9
2Sanford Bemidji Medical CenterBemidji, MN$8$14$13$15$3
3Sanford Webster HospitalWebster, SD$119$282$261$342$79
4Sanford Sheldon Medical CenterSheldon, IA$106$239$241$333$81
5Baylor Scott & White Medical Center - TempleTemple, TX$75$285$289$450$84
6Baylor Scott & White Medical Center - BrenhamBrenham, TX$62$265$224$450$124
7Baylor Scott & White Medical Center - TaylorTaylor, TX$95$270$240$400$103
8Baylor Scott & White Medical Center - HillcrestWaco, TX$60$275$272$425$78
9Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$80$306$283$425$94
10Baylor Scott & White Medical Center - Round RockRound Rock, TX$100$295$299$450$80
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