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NDC 67877044460

67877-0444-60 - dalfampridine 10 mg Tab-ER

Reported by 18 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

Based on 2,000,013,758–2,000,013,983 billing samples across every hospital reporting.

Low

$5

Average

$1587.5k

Median

$236

High

$28571.4k

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.
1St. Joseph Health System, LLCWayne, IN$6$28571.4k$166598.6k1,999,999,998$3$11
2North Carolina Baptist HospitalBermuda Run, NC$185$246$1253,090–3,126$105$503
3Atrium Health Hospitals IncShelby, NC$234$233$1182,426–2,453$62$423
4The Charlotte Mecklenburg Hospital AuthorityMonroe, NC$207$231$1162,347–2,374$58$423
5The Charlotte Mecklenburg Hospital AuthorityConcord, NC$223$227$1172,206–2,260$55$423
6The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$223$227$1181,931–1,958$45$432
7The Charlotte Mecklenburg Hospital AuthorityAlbermarle, NC$267$258$127981$53$427
8The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$216$226$114761–788$45$410
9Carolinas Medical CenterCharlotte, NC$237$240$12116–25$85$445
10Carolinas Medical CenterCharlotte, NC$231$245$1001–10$97$401
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