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NDC 69097072044

DICLOFENAC SODIUM 1 % EX GEL

Reported by 78 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

$3

Average

$33

Median

$18

High

$368

Hospitals reporting this code

#HospitalLocation
1Northwest Iowa Hospital CorporationSioux City, IA$7$14$14$18$3
2Allen Memorial Hospital CorporationWaterloo, IA$10$14$14$17$2
3UnityPoint Health MarshalltownMarshalltown, IA$9$20$16$22$5
4Sanford Fargo Medical CenterFargo, ND$7$17$16$22$5
5Sanford Behavioral Health Thief River FallsThief River Falls, MN$13$29$27$37$8
6Sanford Bemidji Medical CenterBemidji, MN$5$10$9$11$2
7Sanford USD Medical CenterSioux Falls, SD$3$7$6$9$2
8Sanford WheatonWheaton, MN$5$16$14$18$3
9Sanford Aberdeen Medical CenterAberdeen, SD$11$20$18$22$4
10Sanford Bagley Medical CenterBagley, MN$10$36$31$39$8
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