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NDC 9999911013

FAMOTIDINE 40 MG/5 ML (8 MG/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

$59

Average

$77

Median

$78

High

$102

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$61$66$26—$30$112
2Catholic Health Initiatives ColoradoSalt Lake City, UT$69$78$23—$46$128
3Catholic Health Initiatives ColoradoColorado Springs, CO$64$74$26—$34$112
4Catholic Health Initiatives ColoradoLehi, UT$69$78$23—$46$128
5St Francis HospitalColorado Springs, CO$58$62$23—$30$108
6Longmont United HospitalLongmont, CO$51$62$27—$30$115
7Catholic Health Initiatives ColoradoFrisco, CO$77$84$27—$34$117
8Commonspirit Kansas, Inc.Ulysses, KS$106$89$34—$41$121
9Commonspirit Kansas, Inc.Dodge City, KS$102$98$18—$45$115
10Catholic Health Initiatives ColoradoPueblo, CO$74$75$26—$35$112
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