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NDC 1671429802

AMOXICILLIN 250 MG CAPSULE

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

$3

Average

$6

Median

$4

High

$24

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$2$3$3$6$1
2Catholic Health Initiatives ColoradoSalt Lake City, UT$2$4$4$7$1
3Catholic Health Initiatives ColoradoColorado Springs, CO$2$3$4$6$1
4Catholic Health Initiatives ColoradoLehi, UT$2$4$4$7$1
5St Francis HospitalColorado Springs, CO$2$3$3$6$1
6Longmont United HospitalLongmont, CO$2$3$3$6$1
7Catholic Health Initiatives ColoradoFrisco, CO$2$4$4$6$1
8Commonspirit Kansas, Inc.Ulysses, KS$2$5$18$283$61
9Commonspirit Kansas, Inc.Dodge City, KS$2$5$23$283$69
10Catholic Health Initiatives ColoradoPueblo, CO$2$4$4$6$1
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Look up this code directly

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