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NDC 65862049730

ATRIPLA(EFAVIR-EMTRICI-TENOFO)TAB

Reported by 9 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

Low

$1

Average

$125

Median

$217

High

$228

Hospitals reporting this code

#HospitalLocation
1Northside Hospital, Inc.Lawrenceville, GA$75$261$222$496$114
2Northside Hospital, Inc.Canton, GA$55$269$220$496$122
3Northside Hospital, Inc.Atlanta, GA$80$269$228$496$112
4Northside Hospital, Inc.Duluth, GA$63$261$217$496$120
5Northside Hospital, Inc.Cumming, GA$60$269$221$496$121
6Carolinas Medical CenterCharlotte, NC$90$16$16$371—
7The Charlotte Mecklenburg Hospital AuthorityConcord, NC$51$1$1$392—
8The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$41$1$1$400—
9Atrium Health Hospitals IncShelby, NC$58$2$2$392—

Look up this code directly

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