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NDC 67684200006

GADOTERATE MEGLUMINE 7.5 MMOL/15ML IV SOSY

Reported by 11 hospitals in the network under the percent of billed charges 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 negotiated percentage of total billed charges.

National pricing summary

Based on 2–20 billing samples across every hospital reporting.

Low

$0

Average

$28

Median

$0

High

$303

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Fairview Health ServicesPrinceton, MN$0$0$02–20$0$0
2St Luke's Methodist HospitalCedar Rapids, IA$1$1$0—$1$1
3IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$318$303$56—$7$336
4Fairview Health ServicesMinneapolis, MN$0$0$0—$0$0
5Fairview Health ServicesEdina, MN$0$0$0—$0$0
6Fairview Health ServicesBurnsville, MN$0$0$0—$0$0
7HealthEast St John's HospitalMaplewood, MN$0$0$0—$0$0
8Fairview Bethesda HospitalSt. Paul, MN$0$0$0—$0$0
9Fairview Health ServicesWyoming, MN$0$0$0—$0$0
10HealthEast Woodwinds HospitalWoodbury, MN$0$0$0—$0$0
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