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  5. /Percent of billed charges

NDC 67457-0887-01

MEDROXYPROGESTERONE 150 MG/ML IM SUSP

Reported by 11 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

$30

Average

$113

Median

$109

High

$163

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.
1Northwestern Memorial HospitalChicago, IL$56$51$13—$15$56
2Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$27$30$12—$11$56
3Saint Alphonsus Regional Medical Center - BoiseBoise, ID$147$151$33—$62$206
4Saint Alphonsus Medical Center - OntarioOntario, OR$62$84$47—$35$200
5Vanderbilt Wilson County HospitalLebanon, TN$118$110$33—$62$185
6Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$106$109$30—$62$185
7Vanderbilt University Medical CenterNashville, TN$119$107$34—$62$185
8Vanderbilt Bedford HospitalShelbyville, TN$106$109$30—$62$185
9Prisma Health Greenville Memorial HospitalGREENVILLE, SC$184$163$82—$44$267
10Prisma Health Baptist Easley HospitalEASLEY, SC$184$163$84—$44$267
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