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  5. /Percent of billed charges

NDC 72572001701

Ampicillin Sodium For Inj 2 GM

Reported by 55 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

$7

Average

$18

Median

$12

High

$259

Hospitals reporting this code

#HospitalLocation
1Sanford Fargo Medical CenterFargo, ND$1$15$14$19$5
2Sanford USD Medical CenterSioux Falls, SD$1$275$259$352$88
3Sanford Sheldon Medical CenterSheldon, IA$22$50$50$70$17
4Aurora Medical Center SummitSummit, WI$1$11$10$12$2
5Aurora West Allis Medical CenterWest Allis, WI$1$11$10$12$2
6Aurora Medical Center KenoshaKenosha, WI$1$17$16$19$3
7Aurora Sinai Medical Center of Aurora Health Care Metro IncMilwaukee, WI$1$15$14$17$3
8Aurora Lakeland Medical CenterElkhorn, WI$1$14$13$16$2
9IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$0$10$9$13$3
10IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$0$10$9$13$3
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