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NDC 67684424102

gadopiclenol 5 mmol/10 mL (0.5 mmol/mL) intravenous syringe

Reported by 30 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

$271

Average

$362

Median

$357

High

$669

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$89$334$345$537$95
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$74$316$271$537$144
3Baylor Scott & White Medical Center - TaylorTaylor, TX$113$320$291$477$120
4Baylor Scott & White Medical Center - HillcrestWaco, TX$72$328$327$507$88
5Baylor University Medical CenterDallas, TX$101$388$669$7.4k$1.4k
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$95$371$344$507$110
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$119$349$357$537$90
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$89$331$340$507$83
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$66$371$351$507$102
10Baylor Scott & White Medical Center - PlanoPlano, TX$72$379$364$507$88
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