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NDC 69238131409

69238-1314-09 - pregabalin 150 mg / 1 cap(s) Cap

Reported by 9 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$0

Average

$8

Median

$3

High

$44

Hospitals reporting this code

#HospitalLocation
1St. Joseph Health System, LLCIN 46802, IN$2$8$8$8—
2Northwest Sahurita Hospital LLCAZ 85748, AZ$0$0$0$2$0
3Northwest Sahurita Hospital LLCAZ 85629, AZ$0$0$0$2$0
4Oro Valley Hospital LLCTucson, AZ$0$0$1$2$0
5Metro Knoxville HMA LLCKnoxville, TN$1$3$3$5—
6Metro Knoxville HMA LLCPowell, TN$1$3$3$7—
7Triad of Alabama LLCAL 36305, AL$11$11$11$11—
8Gadsden Regional Medical Center LLCGadsden, AL$44$44$44$44—
9Granbury Hospital CorporationGranbury, TX$0$0$0$1$0

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