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NDC 65862084601

65862-0846-01 - cloZAPine 100 mg Tab

Reported by 15 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 6–60 billing samples across every hospital reporting.

Low

$1

Average

$9

Median

$6

High

$60

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.
1The Charlotte Mecklenburg Hospital AuthorityConcord, NC$1$1—2–20$54$415
2Atrium Health Hospitals IncShelby, NC$2$2—2–20$61$415
3Carolinas Medical CenterCharlotte, NC$16$16—1–10$95$393
4The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$1$1—1–10$44$423
5Bluffton Health System LLCBluffton, IN$6$6——$5$19
6Northwest Sahurita Hospital LLCTucson, AZ$1$1$0—$1$4
7Northwest Sahurita Hospital LLCSahuarita, AZ$1$1$0—$1$4
8Oro Valley Hospital LLCTucson, AZ$1$2$1—$1$4
9Northwest Hospital LLCTucson, AZ$1$2$1—$1$4
10Metro Knoxville HMA LLCKnoxville, TN$7$7——$3$11
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