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NDC 7128630201

KETAMINE 50 MG/ML (1 ML) INTRAVENOUS SYRINGE

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

$52

Average

$68

Median

$69

High

$90

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$27$54$58$99$23
2Catholic Health Initiatives ColoradoSalt Lake City, UT$40$61$69$113$20
3Catholic Health Initiatives ColoradoColorado Springs, CO$30$56$65$99$23
4Catholic Health Initiatives ColoradoLehi, UT$40$61$69$113$20
5St Francis HospitalColorado Springs, CO$27$51$55$96$20
6Longmont United HospitalLongmont, CO$27$45$55$101$24
7Catholic Health Initiatives ColoradoFrisco, CO$30$68$74$104$24
8Commonspirit Kansas, Inc.Ulysses, KS$36$94$79$107$30
9Commonspirit Kansas, Inc.Dodge City, KS$39$90$86$101$16
10Catholic Health Initiatives ColoradoPueblo, CO$31$65$66$99$23
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