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 HCL 25 MG/ML PO SOLR
Reported by 114 hospitals in the network under the percent of billed charges methodology.
Based on 592–610 billing samples across every hospital reporting.
Low
$0
Average
$105
Median
$11
High
$1.0k
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 114 hospitals; the 90th percentile is 206.9× 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 | Tri-City Medical Center | Oceanside, CA | $10 | $12 | $6 | 460–478 | $4 | $21 |
| 2 | FHN Memorial Hospital | Freeport, IL | $309 | $301 | $49 | 132 | $214 | $384 |
| 3 | Grinnell Regional Medical Center | Grinnell, IA | $5 | $4 | $1 | — | $2 | $6 |
| 4 | Tri-County Memorial Hospital Inc | Whitehall, WI | $7 | $7 | $2 | — | $4 | $9 |
| 5 | Sanford Behavioral Health Thief River Falls | Thief River Falls, MN | $148 | $136 | $40 | — | $68 | $186 |
| 6 | Sanford Westbrook Hospital | Westbrook, MN | $167 | $150 | $38 | — | $48 | $189 |
| 7 | Sanford Hillsboro Medical Center | Hillsboro, ND | $115 | $103 | $26 | — | $34 | $130 |
| 8 | Sanford Mayville Medical Center | Mayville, ND | $135 | $122 | $29 | — | $40 | $152 |
| 9 | Sanford Thief River Falls Medical Center | Thief River Falls, MN | $148 | $136 | $40 | — | $68 | $186 |
| 10 | Mercy Hospital of Franciscan Sisters Inc | Oelwein, IA | $116 | $99 | $28 | — | $48 | $126 |
Ask Claude or any MCP client for NDC 65628-0204-05 pricing at a specific hospital — see how to connect.