NDC 00049-0014-83

INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM

Reported by 22 hospitals in the network under the other methodology.

Filter by billing methodology

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

National pricing summary

Low

Average

$51

Median

$44

High

$213

#	Hospital	Location
1	Castle Medical Center	Kailua, HI	$82	$82	—	—	$1	$82
2	Glendale Adventist Medical Center	Glendale, CA	$213	$213	$74	—	$16	$496
3	White Memorial Medical Center	Angeles, CA	$83	$83	$22	—	$4	$240
4	Ochsner Clinic Foundation	Orleans, LA	$24	$30	$19	—	$2	$71
5	East Baton Rouge Medical Center, Llc	Baton Rouge, LA	$20	$22	$12	—	$2	$45
6	University Health Shreveport, Llc	Shreveport, LA	$28	$24	$12	—	$2	$39
7	Ochsner Bayou Llc	Raceland, LA	$16	$21	$11	—	$2	$50
8	Southern Regional Medical Corporation	Houma, LA	$12	$16	$8	—	$2	$37
9	Ochsner Lsu Health Shreveport - St. Mary Medical Center, Llc	Shreveport, LA	$21	$23	$12	—	$2	$37
10	Lafayette General Medical Center Inc	Lafayette, LA	$22	$35	$24	—	$2	$107

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