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NDC 68084015411

Promethazine HCl Tab 12.5 MG

Reported by 46 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

Low

$0

Average

$37

Median

$1

High

$178

Hospitals reporting this code

#HospitalLocation
1Sanford Luverne Medical CenterLuverne, MN$0$1$1$1$0
2Good Samaritan Medical Center, Llc DbaLAFAYETTE, CO$1$4$4$7$2
3Holy Rosary Healthcare Dba Intermountain Health Holy Rosary HospitalCITY, MT$2$3$3$4$0
4Carolinas Medical CenterCharlotte, NC$52$120$127$213$52
5North Carolina Baptist HospitalBermuda Run, NC$76$134$178$364$91
6Carolinas Medical CenterCharlotte, NC$52$126$132$213$52
7Carolinas Medical CenterCharlotte, NC$52$119$127$218$53
8The Charlotte Mecklenburg Hospital AuthorityConcord, NC$29$119$124$225$60
9The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$24$119$123$230$61
10Atrium Health Hospitals IncShelby, NC$33$127$128$225$60
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