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NDC 68180015901

68180-0159-01 - ethacrynic acid 25 mg / 1 tab(s) T

Reported by 19 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$3

Average

$29

Median

$15

High

$145

Hospitals reporting this code

#HospitalLocation
1Bluffton Health System LLCBluffton, IN$13$15$15$51—
2Dukes Health System LLCPeru, IN$7$12$11$36$2
3St. Joseph Health System, LLCIN 46802, IN$6$24$24$24—
4Wesley Health System LLCHattiesburg, MS$6$44$44$50$6
5Naples HMA LLCNaples, FL$2$13$12$13$3
6Naples HMA LLCFL 34114, FL$2$13$11$13$3
7Vicksburg Healthcare LLCVicksburg, MS$27$151$145$201$59
8Naples HMA LLCNaples, FL$2$13$12$13$3
9Northwest Sahurita Hospital LLCAZ 85748, AZ$2$4$4$13$0
10Northwest Sahurita Hospital LLCAZ 85629, AZ$2$4$4$13$0
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