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  3. /Scl Health - Montana, Dba Intermountain Health St. Vincent Healthcare
  4. /NDC 67457077930

NDC 67457077930

SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION at Scl Health - Montana, Dba Intermountain Health St. Vincent Healthcare

Billings, MT

Pricing by billing methodology

Price type

All methodologies

$256

Aggregated across all available billing methodologies for this code.

Case rate

Not reported

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

Not reported

Reflects negotiated fee schedule rates with commercial payers.

Per diem

Not reported

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

$256

Reflects a negotiated percentage of total billed charges.

Other

Not reported

Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Mar 22, 2026

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See SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.

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