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NDC 7128840805

GLYCOPYRROLATE 0.2 MG/ML INTRAVENOUS INJECTION (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

$111

Average

$145

Median

$146

High

$192

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$57$115$125$211$49
2Catholic Health Initiatives ColoradoSalt Lake City, UT$86$130$148$240$44
3Catholic Health Initiatives ColoradoColorado Springs, CO$65$120$139$211$48
4Catholic Health Initiatives ColoradoLehi, UT$86$130$147$240$43
5St Francis HospitalColorado Springs, CO$57$109$117$204$43
6Longmont United HospitalLongmont, CO$57$96$118$216$51
7Catholic Health Initiatives ColoradoFrisco, CO$65$144$158$221$51
8Commonspirit Kansas, Inc.Ulysses, KS$77$200$168$228$64
9Commonspirit Kansas, Inc.Dodge City, KS$84$192$184$216$33
10Catholic Health Initiatives ColoradoPueblo, CO$66$139$141$211$48
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