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NDC 69097072044

DICLOFENAC SODIUM 1 % EX GEL

Reported by 78 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

$3

Average

$28

Median

$18

High

$106

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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