NDC 63304-0509-01
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
63304-0509-01-THP - AMOXICILLIN/CLAVULANATE 875/125 MG HOMEPACK [MGH]
Low
$3
Average
$12
Median
$5
High
$52
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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. 6 hospitals; the 90th percentile is 7.5× 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 | Public Hospital District No 1 of Mason County Shelton, WA | $8 | $52 | $61 | 117% | 7,671–7,788 | $1 – $216 |
| 2 | Dukes Health System LLC Peru, IN | $2 | $3 | $1 | 40% | — | $2 – $10 |
| 3 | Laredo Texas Hospital Company LP Laredo, TX | $4 | $5 | $2 | 34% | — | $4 – $69 |
| 4 | Memorial Medical Center San Augustine San Augustine, TX | $5 | $5 | $3 | 62% | — | $1 – $15 |
| 5 | Memorial Health System Of East Texas Lufkin, TX | $5 | $5 | $3 | 60% | — | $1 – $15 |
| 6 | Memorial Hospital Of Polk County Livingston, TX | $5 | $5 | $3 | 59% | — | $1 – $15 |
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