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  5. /Percent of billed charges

NDC 70010003401

AMPHETAMINE-DEXTROAMPHET ER 30 MG PO CP24

Reported by 33 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

$1

Average

$1

Median

$1

High

$4

Hospitals reporting this code

#HospitalLocation
1St Luke's Methodist HospitalCedar Rapids, IA$1$1$1$1$0
2Sanford Sheldon Medical CenterSheldon, IA$2$4$4$5$1
3IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$0$3$2$4$1
4IHC Health Services Inc., DBA Intermountain Primary Children's HospitalCity, UT$1$2$2$2$0
5Baylor Scott & White Medical Center - TempleTemple, TX$0$1$1$1$0
6Baylor Scott & White Medical Center - BrenhamBrenham, TX$0$1$1$1$0
7Baylor Scott & White Medical Center - TaylorTaylor, TX$0$1$1$1$0
8Baylor Scott & White Medical Center - HillcrestWaco, TX$0$1$1$1$0
9Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$0$1$1$1$0
10Baylor Scott & White Medical Center - Round RockRound Rock, TX$0$1$1$1$0
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