APC 875
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
55566-4100-01 - NC sodium hyaluronate 10 mg/mL Sol
Low
$28
Average
$60
Median
$48
High
$105
Filter by billing methodology
Reflects a negotiated per diem rate paid per day of care.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Porter Hospital LLC Valparaiso, IN | $105 | $105 | — | — | — | $95 – $253 |
| 2 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA | $48 | $48 | — | — | — | $48 – $317 |
| 3 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA | $28 | $28 | — | — | — | $28 – $527 |
Ask Claude or any MCP client for APC 875 pricing at a specific hospital — see how to connect.