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NDC 67457035010

67457-0350-10 - ampicillin 500 mg / 0 Injection

Reported by 18 hospitals in the network under the other methodology.

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.

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$1

Average

$109

Median

$25

High

$730

Hospitals reporting this code

#HospitalLocation
1St. Joseph Health System, LLCIN 46802, IN$43$178$178$178—
2Natchez Hospital Company LLCNatchez, MS$2$44$98$291$100
3Northwest Sahurita Hospital LLCAZ 85748, AZ$1$1$6$52$7
4Northwest Sahurita Hospital LLCAZ 85629, AZ$1$1$6$52$7
5Oro Valley Hospital LLCTucson, AZ$1$1$9$52$10
6Northwest Hospital LLCAZ 85741, AZ$1$1$9$52$10
7Metro Knoxville HMA LLCKnoxville, TN$2$33$33$53—
8Metro Knoxville HMA LLCPowell, TN$2$33$33$75—
9Triad of Alabama LLCAL 36305, AL$1$152$152$304$152
10Affinity Hospital LLCBirmingham, AL$1$215$215$269$54
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