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NDC 6991872002

ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION

Reported by 20 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

$912

Average

$1.5k

Median

$1.7k

High

$2.3k

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$8$1.1k$1.0k$2.8k$837
2Catholic Health Initiatives ColoradoSalt Lake City, UT$11$1.7k$1.8k$3.1k$803
3Catholic Health Initiatives ColoradoColorado Springs, CO$8$1.1k$1.1k$2.8k$874
4Catholic Health Initiatives ColoradoLehi, UT$11$1.7k$1.7k$3.1k$804
5St Francis HospitalColorado Springs, CO$8$1.0k$912$2.7k$736
6Longmont United HospitalLongmont, CO$8$916$1.0k$2.8k$892
7Catholic Health Initiatives ColoradoFrisco, CO$9$1.9k$1.8k$2.9k$878
8Commonspirit Kansas, Inc.Ulysses, KS$15$2.5k$2.0k$3.0k$969
9Commonspirit Kansas, Inc.Dodge City, KS$15$2.5k$2.2k$2.8k$764
10Catholic Health Initiatives ColoradoPueblo, CO$8$1.3k$1.4k$2.8k$821
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