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NDC 67457010810

67457-0108-10 - ketamine 100 mg/mL Soln

Reported by 37 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

$36

Average

$772.3k

Median

$48

High

$28571.5k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$51$99$111$185$41
2Lutheran Musculoskeletal Center LLCFort Wayne, IN$49$100$108$205$38
3St. Joseph Health System, LLCIN 46802, IN$46$116$28571.5k$193$166598.6k
4Naples HMA LLCNaples, FL$16$47$60$125$36
5Naples HMA LLCFL 34114, FL$16$47$49$86$27
6Naples HMA LLCNaples, FL$16$47$60$125$36
7East Georgia Regional Medical Center LLCGA 30458, GA$3$22$54$900$166
8St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITALButte, MT$60$107$101$115$13
9Baylor Scott & White Medical Center - TempleTemple, TX$12$46$46$72$13
10Baylor Scott & White Medical Center - BrenhamBrenham, TX$10$42$36$72$20
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