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NDC 70257056302

BACLOFEN 40MG/20 ML AMP X2

Reported by 48 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$134

Average

$212

Median

$191

High

$750

Hospitals reporting this code

#HospitalLocation
1UPMC St MargaretPittsburgh, PA$114$199$750$3.3k$891
2UPMC MercyPittsburgh, PA$114$196$479$2.1k$530
3UPMC NorthwestSeneca, PA$114$190$309$2.0k$344
4Carolinas Medical CenterCharlotte, NC$185$190$195$3.4k$14
5North Carolina Baptist HospitalBermuda Run, NC$176$176$201$5.6k$53
6Carolinas Medical CenterCharlotte, NC$185$190$195$3.4k$14
7Carolinas Medical CenterCharlotte, NC$185$190$195$3.5k$14
8The Charlotte Mecklenburg Hospital AuthorityConcord, NC$185$190$196$3.6k$15
9The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$185$190$196$3.7k$15
10Atrium Health Hospitals IncShelby, NC$185$189$188$3.6k$2
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