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NDC 9999910987

HYDROXYCHLOROQUINE 25 MG/ML ORAL SUSPENSION - COMPOUND

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

$71

Average

$94

Median

$94

High

$124

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$74$80$32—$37$136
2Catholic Health Initiatives ColoradoSalt Lake City, UT$84$95$28—$55$155
3Catholic Health Initiatives ColoradoColorado Springs, CO$77$89$31—$42$136
4Catholic Health Initiatives ColoradoLehi, UT$84$95$28—$55$155
5St Francis HospitalColorado Springs, CO$70$75$28—$37$131
6Longmont United HospitalLongmont, CO$62$76$33—$37$139
7Catholic Health Initiatives ColoradoFrisco, CO$93$102$33—$42$142
8Commonspirit Kansas, Inc.Ulysses, KS$129$108$41—$49$147
9Commonspirit Kansas, Inc.Dodge City, KS$124$119$21—$54$139
10Catholic Health Initiatives ColoradoPueblo, CO$90$91$31—$43$136
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