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NDC 69784084005

SELENIUM 40 MCG/ML INTRAVENOUS SOLUTION

Reported by 49 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

$128

Average

$196

Median

$191

High

$425

Hospitals reporting this code

#HospitalLocation
1Carolinas Medical CenterCharlotte, NC$56$131$139$233$57
2North Carolina Baptist HospitalBermuda Run, NC$73$129$168$350$87
3Carolinas Medical CenterCharlotte, NC$56$138$144$233$56
4Carolinas Medical CenterCharlotte, NC$56$129$139$238$57
5The Charlotte Mecklenburg Hospital AuthorityConcord, NC$32$129$136$246$65
6The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$26$129$134$251$67
7Atrium Health Hospitals IncShelby, NC$36$138$140$246$65
8The Charlotte Mecklenburg Hospital AuthorityAlbermarle, NC$31$155$150$249$74
9The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$26$126$131$238$66
10The Charlotte Mecklenburg Hospital AuthorityMonroe, NC$34$121$134$246$67
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