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NDC 9999910383

MAGIC MOUTHWASH PLUS NYSTATIN- COMPOUND

Reported by 14 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Based on 113–248 billing samples across every hospital reporting.

Low

$16

Average

$65

Median

$41

High

$180

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.
1Commonspirit Kansas, Inc.Garden City, KS$77$64$1898$2$6
2Catholic Health Initiatives ColoradoColorado Springs, CO$31$31—3–30$2$6
3Catholic Health Initiatives ColoradoFrisco, CO$24$37$183–30$2$6
4Commonspirit Kansas, Inc.Dodge City, KS$77$77—3–30$2$6
5Longmont United HospitalLongmont, CO$33$33—2–20$2$6
6Catholic Health Initiatives ColoradoPueblo, CO$44$44—2–20$2$6
7Catholic Health Iniatives ColoradoWestminster, CO$33$33—2–20$2$6
8Catholic Health Initiatives ColoradoColorado Springs, CO$180$180——$2$6
9St Francis HospitalColorado Springs, CO$180$180——$2$6
10Commonspirit Kansas, Inc.Ulysses, KS$77$77——$5$6
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