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NDC 70121158005

prochlorperazine edisylate 10 mg/2 mL (5 mg/mL) injection solution

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

$10

Average

$24

Median

$13

High

$347

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$3$13$13$20$4
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$3$12$10$20$5
3Baylor Scott & White Medical Center - TaylorTaylor, TX$4$12$11$18$5
4Baylor Scott & White Medical Center - HillcrestWaco, TX$3$12$12$19$3
5Baylor University Medical CenterDallas, TX$4$15$347$7.4k$1.5k
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$4$14$13$19$4
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$5$13$13$20$3
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$3$12$13$19$3
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$2$14$13$19$4
10Baylor Scott & White Medical Center - PlanoPlano, TX$3$14$14$19$3
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