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NDC 67457016300

SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION

Reported by 10 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

$6

Average

$34

Median

$22

High

$152

Hospitals reporting this code

#HospitalLocation
1Carolinas Medical CenterCharlotte, NC$67$13$15$277$3
2Carolinas Medical CenterCharlotte, NC$67$203$152$283$72
3The Charlotte Mecklenburg Hospital AuthorityConcord, NC$38$11$11$293$0
4The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$31$6$6$299$5
5Atrium Health Hospitals IncShelby, NC$43$39$39$293—
6The Charlotte Mecklenburg Hospital AuthorityAlbermarle, NC$37$29$29$296—
7The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$31$22$22$283$13
8The Charlotte Mecklenburg Hospital AuthorityMonroe, NC$40$22$22$293—
9High Point Regional HealthHigh Point, NC$58$9$9$382—
10The Medical Center of Central Georgia IncMacon, GA$188$39$39$582—

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