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NDC 66993059902

66993-0599-02 - amphetamine-dextroamphetamine 30 m

Reported by 37 hospitals in the network under the percent of billed charges 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 negotiated percentage of total billed charges.

National pricing summary

Low

$1

Average

$3

Median

$1

High

$25

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$3$5$6$9$2
2Bluffton Health System LLCBluffton, IN$10$25$25$36$8
3Dukes Health System LLCPeru, IN$3$10$11$18$3
4Warsaw Health System LLCWarsaw, IN$5$13$13$21$5
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$5$10$11$20$4
6St. Joseph Health System, LLCIN 46802, IN$3$7$7$12$3
7Dupont Hospital LLCIN 46825, IN$2$4$5$8$2
8Sanford Medical Center BismarckBismarck, ND$2$5$5$6$1
9Baylor Scott & White Medical Center - TempleTemple, TX$0$1$1$2$0
10Baylor Scott & White Medical Center - BrenhamBrenham, TX$0$1$1$2$1
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