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NDC 68094017159

68094-0171-59 - sucralfate 1. Susp

Reported by 38 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

$8

Average

$751.9k

Median

$11

High

$28571.5k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$18$35$40$66$15
2Lutheran Musculoskeletal Center LLCFort Wayne, IN$33$67$73$138$26
3St. Joseph Health System, LLCIN 46802, IN$21$53$28571.5k$89$166598.6k
4Northwest Sahurita Hospital LLCAZ 85748, AZ$5$11$13$38$10
5Northwest Sahurita Hospital LLCAZ 85629, AZ$5$11$13$38$10
6Northwest Hospital LLCAZ 85741, AZ$5$12$16$38$11
7Triad of Alabama LLCAL 36305, AL$8$41$36$54$13
8Affinity Hospital LLCBirmingham, AL$7$29$27$48$11
9Knox Hospital Company LLCKnox, IN$13$43$37$48$11
10Baylor Scott & White Medical Center - TempleTemple, TX$3$11$11$17$3
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