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NDC 9999910770

SODIUM POLYSTYRENE SULFONATE 15 GRAM/60 ML ORAL SUSPENSION

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

$17

Average

$25

Median

$23

High

$47

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$18$20$8—$9$34
2Catholic Health Initiatives ColoradoSalt Lake City, UT$21$24$7—$14$38
3Catholic Health Initiatives ColoradoColorado Springs, CO$19$22$8—$10$34
4Catholic Health Initiatives ColoradoLehi, UT$21$23$7—$14$38
5St Francis HospitalColorado Springs, CO$17$19$7—$9$33
6Longmont United HospitalLongmont, CO$15$19$8—$9$34
7Catholic Health Initiatives ColoradoFrisco, CO$23$25$8—$10$35
8Commonspirit Kansas, Inc.Ulysses, KS$32$39$57—$12$283
9Commonspirit Kansas, Inc.Dodge City, KS$31$46$63—$13$283
10Catholic Health Initiatives ColoradoPueblo, CO$22$23$8—$11$34
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