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  5. /Percent of billed charges

NDC 9999910962

SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE

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 103–319 billing samples across every hospital reporting.

Low

$75

Average

$99

Median

$100

High

$130

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$136$130$2652$57$157
2Catholic Health Initiatives ColoradoDurango, CO$122$109$3217–62$48$146
3Catholic Health Initiatives ColoradoFrisco, CO$97$107$345–50$44$149
4Catholic Health Initiatives ColoradoCanon City, CO$119$94$505–50$24$146
5Catholic Health Initiatives ColoradoColorado Springs, CO$77$84$333–30$38$143
6Catholic Health Initiatives ColoradoLakewood, CO$65$75$3115$38$143
7Catholic Health Initiatives ColoradoLayton, UT$90$100$272–20$58$162
8Catholic Health Initiatives ColoradoColorado Springs, CO$81$94$331–10$44$143
9St Francis HospitalColorado Springs, CO$74$79$291–10$38$138
10Commonspirit Kansas, Inc.Ulysses, KS$135$113$431–10$52$154
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