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  5. /Percent of billed charges

NDC 9999910458

MAGIC MOUTHWASH (AL-MG-OH/DIPHEN/LIDOCAINE-1:1:1)

Reported by 20 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

Based on 62–152 billing samples across every hospital reporting.

Low

$10

Average

$14

Median

$14

High

$18

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$19$18$452$8$22
2Catholic Health Initiatives ColoradoFrisco, CO$13$15$55–50$6$21
3Catholic Health Initiatives ColoradoColorado Springs, CO$11$12$53–30$5$20
4Commonspirit Kansas, Inc.Ulysses, KS$19$16$61–10$7$21
5Commonspirit Kansas, Inc.Dodge City, KS$18$17$31–10$8$20
6Catholic Health Initiatives ColoradoSalt Lake City, UT$12$14$4—$8$22
7Catholic Health Initiatives ColoradoColorado Springs, CO$11$13$5—$6$20
8Catholic Health Initiatives ColoradoLehi, UT$12$14$4—$8$22
9St Francis HospitalColorado Springs, CO$10$11$4—$5$19
10Longmont United HospitalLongmont, CO$9$11$5—$5$20
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