NDC 63323-0402-30
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
AZTREONAM 2 GRAM SOLUTION FOR INJECTION
Reported by 13 hospitals in the network under the other methodology.
Based on 350–359 billing samples across every hospital reporting.
Low
$31
Average
$106
Median
$114
High
$156
Filter by billing methodology
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. 13 hospitals; the 90th percentile is 2.4× 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 | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Memorial Hospital of Laramie County | Cheyenne, WY | $31 | $31 | $6 | 350–359 | $25 | $278 |
| 2 | Ochsner Clinic Foundation | Orleans, LA | $133 | $114 | $68 | — | $2 | $265 |
| 3 | University Health Shreveport, Llc | Shreveport, LA | $104 | $89 | $46 | — | $2 | $147 |
| 4 | Brfhh Monroe, Llc | Monroe, LA | $91 | $84 | $48 | — | $2 | $147 |
| 5 | Ochsner Bayou Llc | Raceland, LA | $61 | $79 | $42 | — | $2 | $188 |
| 6 | Southern Regional Medical Corporation | Houma, LA | $44 | $60 | $30 | — | $2 | $139 |
| 7 | Ochsner Lsu Health Shreveport - St. Mary Medical Center, Llc | Shreveport, LA | $79 | $85 | $44 | — | $2 | $138 |
| 8 | Ochsner Medical Center � Kenner Llc | Kenner, LA | $180 | $145 | $87 | — | $2 | $292 |
| 9 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $149 | $116 | $76 | — | $2 | $186 |
| 10 | Pennsylvania Hospital of the University of Pennsylvania Health System | Philadelphia, PA | $197 | $156 | $65 | — | $2 | $197 |
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