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  4. /NDC 54092019112

NDC 54092019112

PENTASA 500MG CAPSULE at Northside Hospital, Inc.

Lawrenceville, GA

Pricing by billing methodology

Price type

All methodologies

$25

Aggregated across all available billing methodologies for this code.

Case rate

Not reported

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

$39

Reflects negotiated fee schedule rates with commercial payers.

Per diem

Not reported

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

$26

Reflects a negotiated percentage of total billed charges.

Other

$20

Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Feb 15, 2026

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See PENTASA 500MG CAPSULE pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.

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