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  5. /Percent of billed charges

NDC 70000012401

70000-0124-01 - ketotifen ophthalmic 0 / 1 drop(s

Reported by 56 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

$2

Average

$25

Median

$13

High

$314

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$6$13$14$23$5
2Bluffton Health System LLCBluffton, IN$4$11$11$16$4
3Dukes Health System LLCPeru, IN$7$20$22$37$7
4Warsaw Health System LLCWarsaw, IN$8$24$23$38$8
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$4$7$8$15$3
6St. Joseph Health System, LLCIN 46802, IN$10$22$25$40$9
7Dupont Hospital LLCIN 46825, IN$6$12$13$21$5
8Durant HMA LLCDurant, OK$2$12$10$14$4
9Naples HMA LLCNaples, FL$15$22$30$83$14
10Naples HMA LLCFL 34114, FL$15$22$30$83$14
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