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 125 MG/5 ML ORAL SYRINGE
Reported by 15 hospitals in the network under the other methodology.
Low
$4
Average
$79
Median
$11
High
$452
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Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 15 hospitals; the 90th percentile is 59.9× 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 | Ochsner Clinic Foundation | Orleans, LA | $3 | $6 | $5 | — | $3 | $20 |
| 2 | East Baton Rouge Medical Center, Llc | Baton Rouge, LA | $90 | $168 | $114 | — | $25 | $378 |
| 3 | University Health Shreveport, Llc | Shreveport, LA | $3 | $6 | $3 | — | $3 | $11 |
| 4 | Ochsner Bayou Llc | Raceland, LA | $5 | $6 | $3 | — | $4 | $14 |
| 5 | Southern Regional Medical Corporation | Houma, LA | $3 | $4 | $2 | — | $3 | $10 |
| 6 | Rush Medical Foundation | Meridian, MS | $15 | $15 | $1 | — | $9 | $20 |
| 7 | University Hospital & Clinics, Inc. | Lafayette, LA | $10 | $15 | $9 | — | $10 | $35 |
| 8 | Acadia General Hospital, Inc | 1305 CROWLEY RAYNE HWY | $60 | $91 | $127 | — | $7 | $429 |
| 9 | Rush Hospital/Butler, Inc. | Butler, AL | $344 | $372 | $44 | — | $297 | $614 |
| 10 | Scott Regional Medical Center, Inc. | Morton, MS | $13 | $13 | $1 | — | $9 | $20 |
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