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NDC 9999910701

TROPICAMIDE-PROPARACAINE-PHENYLEPHRINE-KETOROLAC EYE DROPS

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

$33

Average

$44

Median

$44

High

$58

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$35$38$15—$17$64
2Catholic Health Initiatives ColoradoSalt Lake City, UT$39$44$13—$26$72
3Catholic Health Initiatives ColoradoColorado Springs, CO$36$42$15—$20$64
4Catholic Health Initiatives ColoradoLehi, UT$39$44$13—$26$72
5St Francis HospitalColorado Springs, CO$33$35$13—$17$61
6Longmont United HospitalLongmont, CO$29$35$15—$17$65
7Catholic Health Initiatives ColoradoFrisco, CO$43$48$15—$20$66
8Commonspirit Kansas, Inc.Ulysses, KS$60$51$19—$23$69
9Commonspirit Kansas, Inc.Dodge City, KS$58$55$10—$25$65
10Catholic Health Initiatives ColoradoPueblo, CO$42$43$15—$20$64
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Look up this code directly

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