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NDC 70069036210

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

Reported by 9 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

Based on 375–969 billing samples across every hospital reporting.

Low

$1

Average

$25

Median

$23

High

$62

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.
1Fairview Health ServicesMinneapolis, MN$40$62$82149–311$7$317
2Fairview Health ServicesWyoming, MN$21$22$980–179$7$41
3Fairview Health ServicesPrinceton, MN$20$23$663–144$7$35
4HealthEast St John's HospitalMaplewood, MN$20$21$526–116$7$36
5Fairview Health ServicesEdina, MN$22$26$925–115$7$41
6HealthEast Woodwinds HospitalWoodbury, MN$20$30$1116–61$7$43
7Fairview Health ServicesBurnsville, MN$14$15$416–43$7$32
8USC Arcadia HospitalArcadia, CA$1$1$0—$0$1
9The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of PennsylvaniaPhiladelphia, PA$37$29$19—$0$46

Look up this code directly

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