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NDC 70000041502

Polyethylene Glycol 3350 Oral Powder 17 GM/SCOOP

Reported by 30 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

$7

Average

$12

Median

$12

High

$13

Hospitals reporting this code

#HospitalLocation
1Sanford Bemidji Medical CenterBemidji, MN$4$8$7$9$2
2Baylor Scott & White Medical Center - TempleTemple, TX$3$11$12$18$3
3Baylor Scott & White Medical Center - BrenhamBrenham, TX$2$11$9$18$5
4Baylor Scott & White Medical Center - TaylorTaylor, TX$4$11$10$16$4
5Baylor Scott & White Medical Center - HillcrestWaco, TX$2$11$11$17$3
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$3$12$11$17$4
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$4$12$12$18$3
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$3$11$11$17$3
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$2$12$12$17$4
10Baylor Scott & White Medical Center - PlanoPlano, TX$2$12$12$17$3
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