NDC 43598-0204-51
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
43598-0204-51 - amoxicillin-clavulanate 250 mg-62.
Reported by 8 hospitals in the network under the other methodology.
Low
$94
Average
$202
Median
$213
High
$322
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 8 hospitals; the 90th percentile is 2.5× 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.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Joseph Health System, LLC Wayne, IN | $271 | $271 | — | — | — | $65 – $271 |
| 2 | Ochsner Clinic Foundation Orleans, LA | $76 | $138 | $114 | 82% | — | $74 – $440 |
| 3 | East Baton Rouge Medical Center, Llc Baton Rouge, LA | $66 | $123 | $84 | 68% | — | $25 – $277 |
| 4 | Southern Regional Medical Corporation Houma, LA | $72 | $94 | $51 | 54% | — | $72 – $231 |
| 5 | Hospital Service District No. 1 Of The Parish Of St. Charles, State Of Louisiana LULING, LA | $173 | $196 | $55 | 28% | — | $173 – $331 |
| 6 | Ochsner Morgan City Llc Morgan City, LA | $128 | $322 | $285 | 89% | — | $124 – $835 |
| 7 | Ochsner Medical Center � Kenner Llc Kenner, LA | $94 | $230 | $173 | 75% | — | $91 – $504 |
| 8 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $327 | $238 | $112 | 47% | — | $37 – $327 |
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