Ampho b cholesteryl sulfate

Reported by 47 hospitals in the network under the fee schedule methodology.

Filter by billing methodology

Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Low

Average

$26

Median

$18

High

$140

#	Hospital	Location
1	Virginia Mason Medical Center	Seattle, WA	$47	$47	$3	—	$44	$50
2	Scl Health - Montana, Dba Intermountain Health St. Vincent Healthcare	Billings, MT	$26	$26	$4	—	$22	$30
3	Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph Hospital	DENVER, CO	$17	$12	$7	—	$0	$17
4	St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional Hospital	JUNCTION, CO	$0	$0	—	—	$0	$0
5	Intermountain Front Range Inc. Dba Intermountain Health Lutheran Hospital	WHEAT RIDGE, CO	$17	$12	$7	—	$0	$17
6	Good Samaritan Medical Center, Llc Dba	LAFAYETTE, CO	$17	$13	$7	—	$0	$17
7	St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITAL	Butte, MT	$34	$34	$1	—	$32	$35
8	Holy Rosary Healthcare Dba Intermountain Health Holy Rosary Hospital	CITY, MT	$117	$84	$48	—	$16	$118
9	IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital	Burley, ID	$30	$30	$1	—	$28	$31
10	Brighton Community Hospital Association Dba Intermountain Health Platte Valley Hospital	BRIGHTON, CO	$0	$0	—	—	$0	$0

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