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NDC 68094010120

PHENTOLAMINE MESYLATE 5 MG IJ SOLR

Reported by 95 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

$317

Average

$1.1k

Median

$1.0k

High

$4.6k

Hospitals reporting this code

#HospitalLocation
1St Luke's Methodist HospitalCedar Rapids, IA$291$449$477$831$137
2Central Iowa Hospital CorporationDes Moines, IA$189$449$452$764$129
3Central Iowa Hospital CorporationDes Moines, IA$189$449$460$899$185
4IOM Health System LPFort Wayne, IN$1.1k$2.1k$2.3k$3.9k$853
5Bluffton Health System LLCBluffton, IN$876$2.3k$2.2k$3.3k$765
6Warsaw Health System LLCWarsaw, IN$1.6k$4.6k$4.6k$7.3k$1.6k
7Lutheran Musculoskeletal Center LLCFort Wayne, IN$1.6k$3.2k$3.4k$6.5k$1.2k
8St. Joseph Health System, LLCIN 46802, IN$1.3k$3.2k$3.4k$5.5k$1.3k
9Durant HMA LLCDurant, OK$298$1.6k$1.3k$1.9k$555
10Wesley Health System LLCHattiesburg, MS$146$421$495$1.3k$239
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