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NDC 69097064202

69097-0642-02 - emtricitabine 200 mg / 1 cap(s) Ca

Reported by 79 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

Based on 13,754–13,925 billing samples across every hospital reporting.

Low

$7

Average

$222

Median

$25

High

$1.3k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1North Carolina Baptist HospitalBermuda Run, NC$974$1.3k$6583,090–3,126$552$2.6k
2Atrium Health Hospitals IncShelby, NC$1.1k$1.2k$5412,424–2,433$300$2.0k
3The Charlotte Mecklenburg Hospital AuthorityMonroe, NC$998$1.1k$5562,347–2,374$279$2.0k
4The Charlotte Mecklenburg Hospital AuthorityConcord, NC$1.1k$1.1k$5392,204–2,240$263$2.0k
5The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$1.1k$1.1k$5531,930–1,948$214$2.1k
6The Charlotte Mecklenburg Hospital AuthorityAlbermarle, NC$1.3k$1.2k$612981$257$2.1k
7The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$1.0k$1.1k$549761–788$214$2.0k
8Carolinas Medical CenterCharlotte, NC$1.1k$1.2k$58116–25$407$2.1k
9Carolinas Medical CenterCharlotte, NC$1.1k$1.2k$4751–10$467$2.0k
10IOM Health System LPFort Wayne, IN$39$43$16—$20$72
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