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NDC 7128503001

TRISODIUM CITRATE 0.5 % SOLUTION (SO)

Reported by 20 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

$250

Average

$327

Median

$329

High

$433

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$127$258$281$475$110
2Catholic Health Initiatives ColoradoSalt Lake City, UT$193$293$332$540$98
3Catholic Health Initiatives ColoradoColorado Springs, CO$146$270$312$475$108
4Catholic Health Initiatives ColoradoLehi, UT$193$292$330$540$98
5St Francis HospitalColorado Springs, CO$127$246$263$459$98
6Longmont United HospitalLongmont, CO$127$216$265$486$115
7Catholic Health Initiatives ColoradoFrisco, CO$146$324$356$497$115
8Commonspirit Kansas, Inc.Ulysses, KS$173$450$377$513$143
9Commonspirit Kansas, Inc.Dodge City, KS$189$432$415$486$75
10Catholic Health Initiatives ColoradoPueblo, CO$149$313$318$475$109
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