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NDC 67457021005

CIDOFOVIR 75 MG/ML IV SOLN

Reported by 61 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$568

Average

$944

Median

$660

High

$4.0k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$529$563$780$3.3k$343
2University of Iowa Health Care Medical CenterIowa City, IA$529$568$768$3.3k$336
3Sanford Fargo Medical CenterFargo, ND$519$598$582$1.8k$22
4Sanford Medical Center BismarckBismarck, ND$493$598$598$965—
5Sanford USD Medical CenterSioux Falls, SD$519$598$577$1.6k$23
6UPMC LititzLititz, PA$26$593$1.0k$3.9k$851
7UPMC MemorialYork, PA$33$623$958$3.9k$822
8UPMC HanoverHanover, PA$37$579$931$3.9k$826
9UPMC CarlisleCarlisle, PA$27$579$919$3.9k$776
10UPMC Pinnacle HospitalsHarrisburg, PA$39$585$856$2.2k$536
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