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NDC 67457-0855-00

ADENOSINE 3 MG/ML IV SOLN

Reported by 41 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

$1

Average

$58

Median

$17

High

$1.1k

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalWinfield, IL$18$149$138$254$88
2Northwestern Memorial HospitalChicago, IL$8$127$154$405$127
3Northwestern Medicine Kishwaukee HospitalDeKalb, IL$74$295$288$405$88
4Northwestern Medicine Valley West HospitalSandwich, IL$25$220$186$364$116
5Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$7$18$20$38$8
6Northwestern Medicine Delnor HospitalGeneva, IL$20$94$82$137$38
7Northwestern Lake Forest HospitalLake Forest, IL$8$21$25$47$14
8Palos Community HospitalPalos Heights, IL$5$25$22$33$11
9Saint Marys HospitalWaterbury, CT$2$4$3$5$1
10Saint Alphonsus Medical Center - OntarioOntario, OR$1$2$3$7$2
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