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  4. /9999910259

NDC 9999910259

RX PROMETHAZINE 25 MG SUPPOSITORY 2 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

$38

Average

$50

Median

$50

High

$66

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$40$43$17—$20$73
2Catholic Health Initiatives ColoradoSalt Lake City, UT$45$51$15—$30$83
3Catholic Health Initiatives ColoradoColorado Springs, CO$41$48$17—$22$73
4Catholic Health Initiatives ColoradoLehi, UT$45$51$15—$30$83
5St Francis HospitalColorado Springs, CO$38$40$15—$20$70
6Longmont United HospitalLongmont, CO$33$41$18—$20$75
7Catholic Health Initiatives ColoradoFrisco, CO$50$55$18—$22$76
8Commonspirit Kansas, Inc.Ulysses, KS$69$58$22—$27$79
9Commonspirit Kansas, Inc.Dodge City, KS$66$64$12—$29$75
10Catholic Health Initiatives ColoradoPueblo, CO$48$49$17—$23$73
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Look up this code directly

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