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NDC 72626270101

SOFOSB 400MG-VELPAT 100MG

Reported by 53 hospitals in the network under the percent of billed charges 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 negotiated percentage of total billed charges.

National pricing summary

Low

$256

Average

$4.9k

Median

$354

High

$28.2k

Hospitals reporting this code

#HospitalLocation
1UPMC Magee-Womens HospitalPittsburgh, PA$306$2.9k$3.3k$6.6k$1.3k
2UPMC PresbyterianPittsburgh, PA$278$4.3k$3.8k$5.9k$1.2k
3UPMC Passavant - McCandlessPittsburgh, PA$292$2.7k$3.3k$5.4k$1.3k
4UPMC MercyPittsburgh, PA$1.0k$1.9k$2.1k$3.7k$804
5UPMC NorthwestSeneca, PA$292$1.8k$1.7k$3.7k$425
6UPMC AltoonaAltoona, PA$278$1.5k$1.6k$2.4k$355
7UPMC McKeesportMckeesport, PA$306$1.7k$1.7k$2.9k$587
8UPMC Western Psychiatric HospitalPittsburgh, PA$1.4k$3.2k$3.2k$4.9k$1.2k
9IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$13$790$716$987$206
10IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$14$790$722$987$201
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