NDC 4456721201
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
AMPICILLIN-SULBACTAM 15 GRAM SOLUTION FOR INJECTION
Based on 13–130 billing samples across every hospital reporting.
Low
$1
Average
$266
Median
$143
High
$680
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 44 hospitals; the 90th percentile is 8.1× 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 | Catholic Health Initiatives Colorado West Jordan, UT | $474 | $518 | $208 | 40% | 6–60 | $4 – $900 |
| 2 | Catholic Health Initiatives Colorado Colorado Springs, CO | $338 | $344 | $205 | 60% | 3–30 | $2 – $792 |
| 3 | Catholic Health Initiatives Colorado Layton, UT | $488 | $534 | $171 | 32% | 2–20 | $4 – $900 |
| 4 | Catholic Health Initiatives Colorado Canon City, CO | $612 | $499 | $285 | 57% | 2–20 | $14 – $810 |
| 5 | Catholic Health Initiatives Colorado Salt Lake City, UT | $481 | $541 | $187 | 35% | — | $4 – $900 |
| 6 | Catholic Health Initiatives Colorado Colorado Springs, CO | $385 | $386 | $206 | 53% | — | $2 – $792 |
| 7 | Catholic Health Initiatives Colorado Lehi, UT | $477 | $538 | $187 | 35% | — | $4 – $900 |
| 8 | St Francis Hospital Colorado Springs, CO | $346 | $344 | $166 | 48% | — | $2 – $765 |
| 9 | Longmont United Hospital Longmont, CO | $315 | $366 | $212 | 58% | — | $2 – $810 |
| 10 | Catholic Health Initiatives Colorado Frisco, CO | $540 | $539 | $236 | 44% | — | $2 – $828 |
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