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NDC 66993058597

FLUTICASONE 250 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION

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

Based on 73–154 billing samples across every hospital reporting.

Low

$46

Average

$169

Median

$62

High

$970

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 AuthorityMonroe, NC$59$59—28$74$544
2The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$48$48$123–32$57$556
3Carolinas Medical CenterCharlotte, NC$64$64—14$125$515
4Carolinas Medical CenterCharlotte, NC$46$46$132–20$125$527
5The Charlotte Mecklenburg Hospital AuthorityConcord, NC$62$62—2–20$70$544
6Atrium Health Hospitals IncShelby, NC$71$71—2–20$80$544
7The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$56$56—1–10$57$527
8Carolinas Medical CenterCharlotte, NC$147$147—1–10$109$573
9The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of PennsylvaniaPhiladelphia, PA$1.3k$970$457—$149$1.3k

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