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NDC 70860077802

70860-0778-02 - prochlorperazine 5 mg/mL Soln

Reported by 24 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$2

Average

$91

Median

$25

High

$730

Hospitals reporting this code

#HospitalLocation
1Bluffton Health System LLCBluffton, IN$14$15$15$51—
2Dukes Health System LLCPeru, IN$30$51$50$160$9
3St. Joseph Health System, LLCIN 46802, IN$43$178$178$178—
4Naples HMA LLCNaples, FL$16$89$81$89$20
5Naples HMA LLCFL 34114, FL$16$89$78$89$21
6Naples HMA LLCNaples, FL$16$89$81$89$20
7Northwest Sahurita Hospital LLCAZ 85748, AZ$2$2$6$52$6
8Northwest Sahurita Hospital LLCAZ 85629, AZ$2$2$6$52$6
9Oro Valley Hospital LLCTucson, AZ$2$2$9$52$10
10Campbell County HMA, LLCLaFollette, TN$3$3$3$75—
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