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NDC 72572001710

Ampicillin Sodium For Inj 2 GM

Reported by 41 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

$7

Average

$17

Median

$11

High

$229

Hospitals reporting this code

#HospitalLocation
1Sanford USD Medical CenterSioux Falls, SD$1$269$229$352$117
2IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$0$10$9$13$3
3IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$0$10$9$13$3
4IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$0$10$9$13$3
5Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$6$20$19$34$8
6St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$7$17$15$20$3
7Intermountain Front Range Inc. Dba Intermountain Health Lutheran HospitalWHEAT RIDGE, CO$6$20$19$34$8
8IHC Health Services, Inc,. DBA Intermountain Health Alta View HospitalSandy, UT$0$10$9$13$3
9Good Samaritan Medical Center, Llc DbaLAFAYETTE, CO$6$20$20$34$8
10IHC Health Services Inc., DBA Intermountain Primary Children's HospitalLehi, UT$3$7$7$8$1
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