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CDM 32471

AMPICILLIN SOD/SULBACTAM SOD 3GRAM RECON SOLN 2

Reported by 43 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

$7

Average

$27

Median

$24

High

$62

Hospitals reporting this code

#HospitalLocation
1Ascension SE Wisconsin Hospital, Inc.Milwaukee, WI$2$9$9$17$5
2Ascension NE Wisconsin, Inc.Oshkosh, WI$3$8$8$11$2
3Ascension SE Wisconsin Hospital, Inc.Brookfield, WI$2$9$10$17$5
4Ascension Calumet Hospital, Inc.Chilton, WI$3$8$8$11$2
5Ascension SE Wisconsin Hospital, Inc.Franklin, WI$2$13$13$29$8
6Columbia St. Mary's Hospital Ozaukee, Inc.Mequon, WI$3$9$9$17$5
7Ascension NE Wisconsin, Inc.Appleton, WI$3$9$8$11$2
8Ascension St. Francis Hospital, Inc.Milwaukee, WI$2$9$10$17$5
9Wheaton Franciscan Healthcare - Southeast Wisconsin IncFranklin, WI$2$14$13$30$8
10Columbia St. Mary's Hospital Milwaukee, Inc.Milwaukee, WI$3$9$9$17$5
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