NDC 65862-0496-47
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
65862-0496-47 - SMX/TMP 200/40 MG/5 ML ORAL SUSP [MGH]
Low
$0
Average
$304
Median
$11
High
$11.0k
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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. 42 hospitals; the 90th percentile is 3779.7× 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 | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Public Hospital District No 1 of Mason County Shelton, WA | $8 | $52 | $61 | 117% | 7,684–7,918 | $1 – $216 |
| 2 | Laredo Texas Hospital Company LP Laredo, TX | $2 | $2 | $1 | 34% | — | $2 – $33 |
| 3 | Piney Woods Healthcare System LP Lufkin, TX | $9 | $10 | $1 | 15% | — | $4 – $72 |
| 4 | CHI St. Vincent Hospital Hot Springs Hot Springs, AR | $381 | $381 | $236 | 62% | — | $145 – $616 |
| 5 | Alegent Creighton Health Omaha, NE | $75 | $73 | $28 | 38% | — | $20 – $106 |
| 6 | Alegent Creighton Health Papillion, NE | $75 | $73 | $27 | 37% | — | $22 – $106 |
| 7 | Alegent Health Bergan Mercy Health System Omaha, NE | $91 | $76 | $29 | 39% | — | $21 – $106 |
| 8 | Alegent Health Immanuel Medical Center Omaha, NE | $75 | $73 | $27 | 37% | — | $17 – $106 |
| 9 | Alegent Health - Mercy Hospital, Corning Iowa Corning, IA | $120 | $117 | $31 | 26% | — | $54 – $277 |
| 10 | Alegent Health Bergan Mercy Health System Council Bluffs, IA | $75 | $75 | $24 | 33% | — | $19 – $106 |
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