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NDC 68094010120

phentolamine 5 mg Powder-Inj

Reported by 20 hospitals in the network under the per diem 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 per diem rate paid per day of care.

National pricing summary

Low

$48

Average

$461

Median

$421

High

$1.5k

Hospitals reporting this code

#HospitalLocation
1Naples HMA LLCNaples, FL$421$421$421$1.1k—
2Naples HMA LLCFL 34114, FL$421$421$421$2.2k—
3Naples HMA LLCNaples, FL$421$421$421$1.1k—
4Northwest Sahurita Hospital LLCAZ 85748, AZ$421$425$425$799$4
5Northwest Sahurita Hospital LLCAZ 85629, AZ$421$425$425$799$4
6Cocke County HMA, LLCNewport, TN$421$421$421$1.7k—
7Oro Valley Hospital LLCTucson, AZ$416$425$425$967$4
8Campbell County HMA, LLCLaFollette, TN$412$421$421$1.8k—
9Northwest Hospital LLCAZ 85741, AZ$421$425$425$967$4
10Jefferson County HMA LLCJefferson City, TN$421$421$421$1.1k—
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