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NDC 641611801

Ampicillin & Sulbactam Sodium For IV Soln 15 (10-5) GM

Reported by 4 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Based on 2–20 billing samples across every hospital reporting.

Low

$39

Average

$93

Median

$47

High

$237

Hospitals reporting this code

#HospitalLocationApproximate 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.
1Sanford Medical Center BismarckBismarck, ND$59$56$192–20$26$73
2Sanford Behavioral Health Thief River FallsThief River Falls, MN$42$39$11—$19$53
3Sanford Thief River Falls Medical CenterThief River Falls, MN$42$39$11—$19$53
4Intermountain Front Range Inc. Dba Intermountain Health Lutheran HospitalWHEAT RIDGE, CO$241$237$99—$78$421

Look up this code directly

Ask Claude or any MCP client for NDC 641611801 pricing at a specific hospital — see how to connect.

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