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NDC 72196040701

amino acid 3.5 % pedi-D10W-calc gluc 3.75 mEq/250 mL intravenous soln

Reported by 30 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

$121

Average

$168

Median

$159

High

$491

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$40$154$155$239$45
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$33$143$121$239$66
3Baylor Scott & White Medical Center - TaylorTaylor, TX$50$146$129$212$55
4Baylor Scott & White Medical Center - HillcrestWaco, TX$32$146$146$225$42
5Baylor University Medical CenterDallas, TX$45$169$491$7.4k$1.5k
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$42$165$152$225$50
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$53$158$160$239$43
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$40$151$152$225$40
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$29$165$155$225$47
10Baylor Scott & White Medical Center - PlanoPlano, TX$32$165$161$225$40
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