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NDC 67457058300

Fondaparinux Sodium Inj 5 MG/0.4ML

Reported by 63 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

$41

Average

$138

Median

$140

High

$457

Hospitals reporting this code

#HospitalLocation
1Sanford Fargo Medical CenterFargo, ND$1$102$91$130$40
2Sanford USD Medical CenterSioux Falls, SD$1$288$245$377$125
3Sanford Aberdeen Medical CenterAberdeen, SD$48$90$82$99$17
4UPMC LititzLititz, PA$1$65$59$124$37
5UPMC MemorialYork, PA$1$58$52$124$42
6UPMC HanoverHanover, PA$1$88$70$127$46
7UPMC CarlisleCarlisle, PA$1$60$59$124$36
8UPMC Pinnacle HospitalsHarrisburg, PA$1$37$52$124$47
9UPMC SomersetSomerset, PA$1$57$52$110$40
10St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$118$285$251$330$59
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