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
Acetylcysteine 20% Oral Soln 4mL
Low
$0
Average
$2.5k
Median
$23
High
$50k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 138.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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23 hospital rates
iThe hospitals that file a Tricare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $6 | $6 | — | — | 71 | $6 – $6 |
| 2 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $6 | $6 | — | — | 22 | $6 – $6 |
| 3 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $19 | $19 | $12 | 66% | 18 | $6 – $31 |
| 4 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 5 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $22 | $23 | $11 | 48% | — | $10 – $40 |
| 6 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 7 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $4 | $5 | $2 | 48% | — | $3 – $8 |
| 8 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $700 | $700 | $250 | 36% | — | $450 – $950 |
| 9 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 10 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $431 | $431 | $139 | 32% | — | $292 – $570 |
| 11 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $362 | $362 | $117 | 32% | — | $245 – $480 |
| 12 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges | 1 | $18 | $18 | $3 | 17% | — | $15 – $21 |
| 13 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $7 | $9 | 126% | — | $2 – $31 |
| 14 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $611 | $611 | — | — | — | $611 – $611 |
| 15 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 17 | Nationwide Children's Hospital Columbus, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 18 | OCHSNER BAYOU LLC Raceland, LA percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | $0 | 5% | — | $4 – $5 |
| 19 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 2 | $6 | $6 | — | — | — | $6 – $6 |
| 20 | TROY COMMUNITY HOSPITAL INCORPORATED Troy, PA facility · other · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 21 | The Toledo Hospital Maumee, OH facility · fee schedule · outpatient | 1 | $184 | $184 | — | — | — | $184 – $184 |
| 22 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 23 | University of Texas MD Anderson Cancer Center The University of Texas M D Anderson Cancer Center Houston, TX professional · percent of total billed charges · bothfrom % of charges | 2 | $50 | $50 | $4 | 8% | — | $46 – $54 |
← Payers reporting CPT 99070 · Snapshot 20261111T120946Z-9134e7f7