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NDC 66302035001

TREPROSTINIL DIOLAMINE ER 5 MG TABLET EXTENDED RELEASE

Reported by 35 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

$249

Average

$364

Median

$333

High

$658

Hospitals reporting this code

#HospitalLocation
1Henry Ford Health SystemDetroit, MI$275$540$538$791$124
2Henry Ford Health SystemWest Bloomfield, MI$275$504$529$791$138
3Henry Ford Macomb Hospital CorporationClinton Twp, MI$236$506$507$716$138
4Henry Ford Wyandotte HospitalWyandotte, MI$175$536$489$623$133
5WA Foote Memorial HospitalJackson, MI$275$551$597$826$165
6Baylor Scott & White Medical Center - TempleTemple, TX$83$317$321$500$93
7Baylor Scott & White Medical Center - BrenhamBrenham, TX$69$294$249$500$137
8Baylor Scott & White Medical Center - TaylorTaylor, TX$106$300$266$444$114
9Baylor Scott & White Medical Center - HillcrestWaco, TX$67$306$302$472$87
10Baylor University Medical CenterDallas, TX$94$345$658$7.4k$1.4k
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