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NDC 68094010120

PHENTOLAMINE MESYLATE 5 MG IJ SOLR

Reported by 43 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$285

Average

$523

Median

$475

High

$858

Hospitals reporting this code

#HospitalLocation
1St Luke's Methodist HospitalCedar Rapids, IA$291$449$558$831$173
2Central Iowa Hospital CorporationDes Moines, IA$189$449$539$764$142
3Central Iowa Hospital CorporationDes Moines, IA$189$449$578$899$203
4Wesley Health System LLCHattiesburg, MS$146$421$465$1.3k$126
5Naples HMA LLCNaples, FL$78$90$285$1.1k$252
6Naples HMA LLCFL 34114, FL$78$90$285$2.2k$252
7Vicksburg Healthcare LLCVicksburg, MS$395$421$468$3.2k$133
8Naples HMA LLCNaples, FL$78$90$285$1.1k$252
9Northwest Sahurita Hospital LLCAZ 85748, AZ$421$421$469$799$112
10Northwest Sahurita Hospital LLCAZ 85629, AZ$421$421$475$799$109
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