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  4. /99999015213

NDC 99999015213

miSOPROStol 25 mcg Tab 0.25 Each BLIST PACK

Reported by 16 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

$2

Average

$2

Median

$2

High

$2

Hospitals reporting this code

#HospitalLocation
1Kaiser Foundation Hospital - Los AngelesLOS ANGELES, CA$2$2$2$3$1
2Kaiser Foundation Hospital - FontanaFONTANA, CA$2$2$2$3$1
3Kaiser Foundation Hospital - Baldwin ParkBALDWIN PARK, CA$2$2$2$3$1
4Kaiser Foundation Hospital - DowneyDowney, CA$2$2$2$3$1
5Kaiser Foundation Hospital - RiversideRIVERSIDE, CA$2$2$2$3$1
6Kaiser Foundation Hospital - West LaLOS ANGELES, CA$2$2$2$3$1
7Kaiser Foundation Hospital - Orange County - AnaheimAnaheim, CA$2$2$2$3$1
8Kaiser Foundation Hospital - South BayHARBOR CITY, CA$2$2$2$3$1
9Kaiser Foundation Hospital - Woodland HillsWOODLAND HILLS, CA$2$2$2$3$1
10Kaiser Foundation Hospital - San Diego - ZionSAN DIEGO, CA$2$2$2$3$1
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