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NDC 9999910560

RX GENTAMICIN 0.3 % OPHTHALMIC OINTMENT 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

$61

Average

$80

Median

$81

High

$106

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$63$69$27—$31$117
2Catholic Health Initiatives ColoradoSalt Lake City, UT$72$82$24—$47$132
3Catholic Health Initiatives ColoradoColorado Springs, CO$66$76$27—$36$117
4Catholic Health Initiatives ColoradoLehi, UT$72$81$24—$47$132
5St Francis HospitalColorado Springs, CO$60$64$24—$31$113
6Longmont United HospitalLongmont, CO$53$65$28—$31$119
7Catholic Health Initiatives ColoradoFrisco, CO$79$87$28—$36$122
8Commonspirit Kansas, Inc.Ulysses, KS$110$93$35—$42$126
9Commonspirit Kansas, Inc.Dodge City, KS$106$102$18—$46$119
10Catholic Health Initiatives ColoradoPueblo, CO$77$78$27—$37$117
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