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NDC 1671429202

AMOXICILLIN 200 MG-POTASSIUM CLAVULANATE 28.5 MG/5 ML ORAL SUSPENSION

Reported by 20 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

$18

Average

$24

Median

$24

High

$31

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$9$19$20$35$8
2Catholic Health Initiatives ColoradoSalt Lake City, UT$14$21$24$39$7
3Catholic Health Initiatives ColoradoColorado Springs, CO$11$20$23$35$8
4Catholic Health Initiatives ColoradoLehi, UT$14$21$24$39$7
5St Francis HospitalColorado Springs, CO$9$18$19$33$7
6Longmont United HospitalLongmont, CO$9$16$19$35$8
7Catholic Health Initiatives ColoradoFrisco, CO$11$24$26$36$8
8Commonspirit Kansas, Inc.Ulysses, KS$13$33$27$37$10
9Commonspirit Kansas, Inc.Dodge City, KS$14$31$30$35$5
10Catholic Health Initiatives ColoradoPueblo, CO$11$23$23$35$8
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