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NDC 68850001202

68850-0012-02 - ethambutol 400 mg Tab

Reported by 75 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

$1

Average

$381.0k

Median

$3

High

$28571.4k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$4$7$8$13$3
2Bluffton Health System LLCBluffton, IN$9$24$23$34$8
3Dukes Health System LLCPeru, IN$5$11$12$25$6
4Warsaw Health System LLCWarsaw, IN$7$19$19$30$6
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$7$14$15$29$5
6St. Joseph Health System, LLCIN 46802, IN$4$10$28571.4k$17$166598.6k
7Dupont Hospital LLCIN 46825, IN$3$6$7$11$2
8Natchez Hospital Company LLCNatchez, MS$1$8$11$27$8
9Durant HMA LLCDurant, OK$3$14$11$17$5
10Naples HMA LLCNaples, FL$4$11$14$24$8
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