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NDC 70121175407

Bevacizumab-maly IV Soln 100 MG/4ML (For Infusion)

Reported by 57 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

$512

Average

$1.2k

Median

$704

High

$4.0k

Hospitals reporting this code

#HospitalLocation
1Sanford Medical Center BismarckBismarck, ND$36$783$568$1.0k$417
2Sanford Sheldon Medical CenterSheldon, IA$236$535$540$746$180
3Sanford Tracy HospitalTracy, MN$223$768$685$870$188
4Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$2.2k$3.3k$3.3k$3.8k$512
5Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$1.3k$4.0k$3.9k$7.0k$1.7k
6St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$1.5k$3.5k$3.1k$4.1k$719
7Intermountain Front Range Inc. Dba Intermountain Health Lutheran HospitalWHEAT RIDGE, CO$1.3k$4.0k$3.9k$7.0k$1.6k
8Good Samaritan Medical Center, Llc DbaLAFAYETTE, CO$1.3k$4.0k$4.0k$7.0k$1.6k
9St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITALButte, MT$2.2k$3.9k$3.7k$4.2k$478
10Holy Rosary Healthcare Dba Intermountain Health Holy Rosary HospitalCITY, MT$1.9k$3.7k$3.7k$4.1k$328
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