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
SODIUM CHLORIDE 0.9 % IR SOLN
Low
$0
Average
$12
Median
$4
High
$64
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 7.3× 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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26 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 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Central Maine Medical Center Lewiston, ME fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 4 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $20 | $20 | $6 | 31% | — | $14 – $26 |
| 5 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $9 | $4 | 40% | — | $4 – $12 |
| 6 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 7 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 8 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 9 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | $0 | 55% | — | $0 – $0 |
| 10 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | $0 | 55% | — | $0 – $0 |
| 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 · inpatientfrom % of charges | 1 | $12 | $16 | $8 | 49% | — | $10 – $29 |
| 12 | 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 | $10 | $13 | $7 | 49% | — | $8 – $25 |
| 13 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 14 | KAPLAN GENERAL HOSPITAL, INC ST, LA percent of total billed charges · outpatientfrom % of charges | 1 | $64 | $64 | $26 | 41% | — | $32 – $96 |
| 15 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 16 | MACON COMMUNITY HOSPITAL LAFAYETTE, TN percent of total billed charges · bothfrom % of charges | 1 | $4 | $3 | $1 | 45% | — | $1 – $4 |
| 17 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 18 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 19 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $25 | $23 | $8 | 32% | — | $13 – $35 |
| 20 | OCHSNER BAYOU LLC Raceland, LA percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | $0 | 5% | — | $5 – $6 |
| 21 | PARKWEST MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 22 | PARKWEST MEDICAL CENTER Louisville, TN fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 23 | ROANE COUNTY MEDICAL CENTER Harriman, TN fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 24 | ST MARTIN HOSPITAL INC Breaux Bridge, LA percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | $8 | 20% | — | $31 – $47 |
| 25 | San Juan Hospital Spanish Valley, UT facility · fee schedule · both | 3 | $0 | $0 | $0 | 50% | — | $0 – $0 |
← Payers reporting HCPCS A4217 · Snapshot 20261111T120946Z-9134e7f7