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NDC 9999910606

BRILLIANT BLUE 0.05% DEXTROSE 5% PF 1 ML VIAL

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

$139

Average

$182

Median

$183

High

$240

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$143$156$61—$71$264
2Catholic Health Initiatives ColoradoSalt Lake City, UT$163$185$54—$107$300
3Catholic Health Initiatives ColoradoColorado Springs, CO$150$173$60—$81$264
4Catholic Health Initiatives ColoradoLehi, UT$162$184$54—$107$300
5St Francis HospitalColorado Springs, CO$137$146$54—$71$255
6Longmont United HospitalLongmont, CO$120$147$64—$71$270
7Catholic Health Initiatives ColoradoFrisco, CO$180$198$64—$81$276
8Commonspirit Kansas, Inc.Ulysses, KS$250$210$80—$96$285
9Commonspirit Kansas, Inc.Dodge City, KS$240$230$42—$105$270
10Catholic Health Initiatives ColoradoPueblo, CO$174$176$61—$83$264
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