NDC 65628-0204-05
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
VANCOMYCIN 125MG/5ML SUS
Reported by 19 hospitals in the network under the fee schedule methodology.
Low
$0
Average
$59
Median
$5
High
$304
Filter by billing methodology
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. 19 hospitals; the 90th percentile is 215.9× 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 | Agh Laveen Llc | Phoenix, AZ | $47 | $57 | $44 | — | $10 | $142 |
| 2 | Agh Mesa Llc | Mesa, AZ | $47 | $57 | $44 | — | $10 | $142 |
| 3 | St Joseph Regional Health Center | College Station, TX | $1 | $1 | $1 | — | $0 | $3 |
| 4 | Burleson St. Joseph Health Center Of Caldwell, Texas | Caldwell, TX | $1 | $1 | $1 | — | $0 | $3 |
| 5 | Madison St Joseph Health Center | Madisonville, TX | $0 | $1 | $1 | — | $0 | $3 |
| 6 | St Joseph Regional Health Center | Bryan, TX | $1 | $1 | $1 | — | $0 | $3 |
| 7 | St Joseph Regional Health Center | Navasota, TX | $1 | $1 | $1 | — | $0 | $3 |
| 8 | Twin City Hospital Corporation | Dennison, OH | $154 | $262 | $193 | — | $66 | $697 |
| 9 | Sharp Chula Vista Medical Center | Chula Vista, CA | $1 | $1 | $0 | — | $0 | $2 |
| 10 | Sharp Mesa Vista Hospital | San Diego, CA | $5 | $5 | — | — | $0 | $5 |
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