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NDC 65857010030

FLUDEOXYGLUCOSE F-18 20 MCI TO 300 MCI/ML INTRAVENOUS SOLUTION

Reported by 22 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

$1.6k

Average

$2.4k

Median

$2.0k

High

$3.9k

Hospitals reporting this code

#HospitalLocation
1IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$35$2.1k$1.9k$2.7k$554
2IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$41$2.1k$1.9k$2.7k$531
3IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$29$2.1k$1.9k$2.9k$551
4IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$46$2.0k$1.9k$2.2k$359
5IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$38$2.1k$1.9k$2.7k$538
6Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$2.2k$3.2k$3.2k$3.8k$501
7Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$1.2k$3.9k$3.8k$6.8k$1.6k
8IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$50$2.0k$1.9k$2.3k$446
9IHC Health Services Inc., DBA Intermountain Health American Fork HospitalAmerican Fork, UT$53$2.1k$1.9k$2.7k$516
10IHC Health Services Inc., DBA Intermountain Health Layton HospitalLayton, UT$121$2.1k$1.9k$2.9k$546
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