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NDC 00781604146

AMOXICILLIN 250 MG/5ML PO SUSR

Reported by 63 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

$2

Average

$15

Median

$9

High

$356

Hospitals reporting this code

#HospitalLocation
1UnityPoint Health MarshalltownMarshalltown, IA$5$11$9$12$3
2Sanford Canby Medical CenterCanby, MN$5$18$16$20$4
3Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$17$25$24$29$4
4St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITALButte, MT$16$29$27$31$4
5North Carolina Baptist HospitalWinston Salem, NC$6$11$15$30$8
6Carolinas Medical CenterCharlotte, NC$4$10$11$18$4
7North Carolina Baptist HospitalBermuda Run, NC$6$11$15$30$8
8Carolinas Medical CenterCharlotte, NC$4$11$11$18$4
9Carolinas Medical CenterCharlotte, NC$4$10$11$18$4
10The Charlotte Mecklenburg Hospital AuthorityConcord, NC$2$10$10$19$5
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