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  4. /NDC 00641092925

NDC 00641092925

PROMETHAZINE 50 MG/ML INJECTION SOLUTION at Polk Medical Center Inc

Cedartown, GA

Pricing by billing methodology

Price type

All methodologies

$13

1–10 samples

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

$3

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

$15

1–10 samples

Reflects a negotiated percentage of total billed charges.

Other

—

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

Last updated: Nov 19, 2025

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See PROMETHAZINE 50 MG/ML INJECTION SOLUTION 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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