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NDC 7059408702

AMPICILLIN 2 GRAM IV SOLUTION (SO)

Reported by 20 hospitals in the network.

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.

National pricing summary

Low

$39

Average

$58

Median

$63

High

$80

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$1$42$44$93$22
2Catholic Health Initiatives ColoradoSalt Lake City, UT$1$57$64$106$22
3Catholic Health Initiatives ColoradoColorado Springs, CO$1$45$45$93$24
4Catholic Health Initiatives ColoradoLehi, UT$1$56$63$106$22
5St Francis HospitalColorado Springs, CO$1$41$41$90$19
6Longmont United HospitalLongmont, CO$1$37$43$95$25
7Catholic Health Initiatives ColoradoFrisco, CO$1$63$63$97$28
8Commonspirit Kansas, Inc.Ulysses, KS$1$85$67$100$32
9Commonspirit Kansas, Inc.Dodge City, KS$1$85$73$95$26
10Catholic Health Initiatives ColoradoPueblo, CO$29$48$54$93$20
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