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NDC 9999910256

RX PROCHLORPERAZINE 25 MG SUPPOSITORY 4 SUPPS TAKE HOME

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

$68

Average

$90

Median

$90

High

$119

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Catholic Health Initiatives ColoradoColorado Springs, CO$71$77$30—$35$130
2Catholic Health Initiatives ColoradoSalt Lake City, UT$80$91$27—$53$148
3Catholic Health Initiatives ColoradoColorado Springs, CO$74$86$30—$40$130
4Catholic Health Initiatives ColoradoLehi, UT$80$91$27—$53$148
5St Francis HospitalColorado Springs, CO$67$72$27—$35$126
6Longmont United HospitalLongmont, CO$59$73$32—$35$133
7Catholic Health Initiatives ColoradoFrisco, CO$89$98$31—$40$136
8Commonspirit Kansas, Inc.Ulysses, KS$124$104$39—$47$141
9Commonspirit Kansas, Inc.Dodge City, KS$119$114$21—$52$133
10Catholic Health Initiatives ColoradoPueblo, CO$86$87$30—$41$130
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