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NDC 68084-0753-95

CYCLOBENZAPRINE 5 MG ORAL TAB

Reported by 23 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

$0

Average

$2

Median

$1

High

$14

Hospitals reporting this code

#HospitalLocation
1Northwestern Memorial HospitalChicago, IL$1$5$9$20$8
2Northwestern Medicine Kishwaukee HospitalDeKalb, IL$4$14$14$20$4
3Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$1$1$1$3$1
4Palos Community HospitalPalos Heights, IL$0$2$2$3$1
5Northwestern Medicine Marianjoy Rehabilitation HospitalWheaton, IL$2$3$4$6$1
6Memorial Medical Center San AugustineSan Augustine, TX$0$1$1$1$0
7Memorial Health System Of East TexasLufkin, TX$0$1$1$1$0
8Memorial Hospital Of Polk CountyLivingston, TX$0$1$1$1$0
9Saint Alphonsus Regional Medical Center - BoiseBoise, ID$0$1$1$1$0
10Saint Francis Hospital and Medical CenterHartford, CT$0$1$1$1$0
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