NDC 25021-0173-04
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
AMIKACIN 250MG/ML 4ML INJ
Low
$1
Average
$62
Median
$1
High
$6.8k
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 130 hospitals; the 90th percentile is 43.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Dignity Community Care Northridge, CA | $6 | $13 | $17 | 136% | 1–10 | $1 – $72 |
| 2 | Dignity Health Long Beach, CA | $10 | $27 | $41 | 153% | 1–10 | $1 – $184 |
| 3 | Laredo Texas Hospital Company LP Laredo, TX | $1 | $1 | $0 | 35% | — | $1 – $15 |
| 4 | Sanford Fargo Medical Center Fargo, ND | $1 | $1 | — | — | — | $1 – $38 |
| 5 | Sanford USD Medical Center Sioux Falls, SD | $1 | $1 | — | — | — | $1 – $358 |
| 6 | Agh Laveen Llc Phoenix, AZ | $2 | $32 | $49 | 156% | — | $1 – $130 |
| 7 | Dignity Community Care Los Angeles, CA | $8 | $20 | $22 | 110% | — | $1 – $81 |
| 8 | Dignity Community Care San Luis Obispo, CA | $146 | $126 | $39 | 31% | — | $46 – $169 |
| 9 | Dignity Community Care Chandler, AZ | $3 | $25 | $37 | 151% | — | $1 – $134 |
| 10 | Dignity Community Care Sacramento, CA | $3 | $20 | $25 | 123% | — | $1 – $62 |
Ask Claude or any MCP client for NDC 25021-0173-04 pricing at a specific hospital — see how to connect.