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NDC 67457016200

SODIUM TETRADECYL SULF 1 % INJ SOLN UIHC

Reported by 60 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

$83

Average

$252

Median

$210

High

$1.0k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$61$229$233$323$68
2University of Iowa Health Care Medical CenterIowa City, IA$88$236$235$323$65
3Sanford Fargo Medical CenterFargo, ND$35$88$83$112$28
4Sanford USD Medical CenterSioux Falls, SD$122$318$295$416$103
5Sanford Luverne Medical CenterLuverne, MN$35$116$100$137$31
6Sanford Chamberlain Medical CenterChamberlain, SD$49$107$99$129$28
7Sanford Sheldon Medical CenterSheldon, IA$41$93$94$129$31
8St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$173$416$367$482$85
9St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITALButte, MT$260$462$434$497$57
10Brighton Community Hospital Association Dba Intermountain Health Platte Valley HospitalBRIGHTON, CO$100$296$279$340$68
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