NDC 00703951481

SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION

Reported by 31 hospitals in the network under the percent of billed charges methodology.

Filter by billing methodology

Reflects a negotiated percentage of total billed charges.

National pricing summary

Based on 301–625 billing samples across every hospital reporting.

Low

$22

Average

$33

Median

$30

High

$65

#	Hospital	Location
1	Fairview Health Services	Minneapolis, MN	$22	$22	$7	96–177	$7	$33
2	Fairview Health Services	Wyoming, MN	$26	$23	$7	76–139	$7	$35
3	Fairview Health Services	Princeton, MN	$26	$23	$7	58–94	$7	$35
4	HealthEast St John's Hospital	Maplewood, MN	$22	$22	$7	21–66	$7	$33
5	Fairview Health Services	Edina, MN	$22	$22	$7	19–55	$7	$33
6	Fairview Health Services	Burnsville, MN	$22	$22	$7	17–53	$7	$33
7	HealthEast Woodwinds Hospital	Woodbury, MN	$22	$22	$7	14–41	$7	$33
8	North Carolina Baptist Hospital	Winston Salem, NC	$22	$29	$15	—	$13	$61
9	Carolinas Medical Center	Charlotte, NC	$29	$31	$12	—	$12	$51
10	Carolinas Medical Center	Charlotte, NC	$30	$32	$12	—	$12	$51

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