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NDC 70069036210

SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5ML IV SOL

Reported by 17 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$0

Average

$5

Median

$0

High

$71

Hospitals reporting this code

#HospitalLocationApproximate 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.
1The Finley HospitalDubuque, IA$0$0——$0$0
2University of Iowa Health Care Medical Center DowntownIowa City, IA$0$0$0—$0$122
3University of Iowa Health Care Medical CenterIowa City, IA$0$0$0—$0$122
4UPMC LititzLititz, PA$0$0——$0$1
5UPMC MemorialYork, PA$0$0——$0$1
6UPMC HanoverHanover, PA$0$0——$0$1
7UPMC CarlisleCarlisle, PA$0$0——$0$1
8UPMC Pinnacle HospitalsHarrisburg, PA$0$0$0—$0$1
9UPMC SomersetSomerset, PA$0$0——$0$1
10Wayne Memorial HospitalGoldsboro, NC$0$0$0—$0$90
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