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NDC 9999911234

MAGNESIUM SULFATE 10 GRAM/250 ML (4 %) IN WATER INTRAVENOUS SOLUTION

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

Based on 60–600 billing samples across every hospital reporting.

Low

$67

Average

$98

Median

$109

High

$139

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 ColoradoLayton, UT$99$107$3510–100$1$184
2Catholic Health Initiatives ColoradoCanon City, CO$105$95$5910–100$28$165
3Catholic Health Initiatives ColoradoColorado Springs, CO$72$72$426–60$1$162
4Catholic Health Initiatives ColoradoWest Jordan, UT$97$110$386–60$1$184
5Catholic Health Iniatives ColoradoWestminster, CO$64$68$376–60$1$162
6Catholic Health Initiatives ColoradoFrisco, CO$110$110$484–40$1$169
7Commonspirit Kansas, Inc.Dodge City, KS$147$124$444–40$1$165
8Catholic Health Initiatives ColoradoDurango, CO$119$118$394–40$50$165
9Catholic Health Initiatives ColoradoLakewood, CO$64$70$354–40$1$162
10Commonspirit Kansas, Inc.Garden City, KS$147$113$643–30$1$178
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Look up this code directly

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