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NDC 69097-0846-07

CYCLOBENZAPRINE 10 MG ORAL TAB

Reported by 12 hospitals in the network under the percent of billed charges 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 percentage of total billed charges.

National pricing summary

Low

$1

Average

$3

Median

$2

High

$11

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalWinfield, IL$1$2$3$5$1
2Northwestern Memorial HospitalChicago, IL$1$2$3$5$1
3Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$0$1$1$2$0
4Northwestern Medicine Delnor HospitalGeneva, IL$1$3$3$5$1
5Mary Hitchcock Memorial HospitalLebanon, NH$2$11$11$17$4
6University of Colorado Hospital AuthorityAurora, CO$1$1$1$2$0
7Piedmont EastsideSnellville, GA$1$4$4$6$1
8Poudre Valley Health Care, IncFort Collins, CO$1$2$2$3$1
9Medical Center of the RockiesLoveland, CO$1$2$2$3$1
10UCHealth Highlands Ranch HospitalHighlands Ranch, CO$1$1$1$2$0
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