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NDC 67457010810

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

Reported by 4 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

Low

$76

Average

$116

Median

$96

High

$193

Hospitals reporting this code

#HospitalLocation
1St. Joseph Health System, LLCIN 46802, IN$46$193$193$193—
2Naples HMA LLCNaples, FL$16$86$96$125$30
3Naples HMA LLCFL 34114, FL$16$86$76$86$20
4Naples HMA LLCNaples, FL$16$86$96$125$30

Look up this code directly

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