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NDC 71288000521

Ampicillin & Sulbactam Sodium For Inj 1-0.5 GM

Reported by 56 hospitals in the network under the percent of billed charges 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 negotiated percentage of total billed charges.

National pricing summary

Low

$16

Average

$28

Median

$23

High

$66

Hospitals reporting this code

#HospitalLocation
1Sanford Medical Center BismarckBismarck, ND$11$25$25$31$7
2Sanford Aberdeen Medical CenterAberdeen, SD$35$66$60$73$13
3Memorial Hospital of Laramie CountyCheyenne, WY$56$68$66$74$5
4North Carolina Baptist HospitalWinston Salem, NC$12$21$27$57$14
5Carolinas Medical CenterCharlotte, NC$2$27$29$48$12
6North Carolina Baptist HospitalBermuda Run, NC$3$21$28$57$14
7Carolinas Medical CenterCharlotte, NC$2$28$30$48$12
8Carolinas Medical CenterCharlotte, NC$2$27$29$49$12
9The Charlotte Mecklenburg Hospital AuthorityConcord, NC$7$27$28$51$13
10The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$5$27$28$52$14
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