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
AMMONIA (N-13) 37.5 MCI/ML INTRAVENOUS SOLUTION
Low
$13
Average
$1.5k
Median
$1.3k
High
$11.1k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
354 hospitals; the 90th percentile is 3.2× 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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421 hospital rates
iThe hospitals that file a Cigna 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 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 4 | $1.3k | $1.3k | $27 | 2% | 2–20 | $1.3k – $1.3k |
| 2 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $956 | $956 | $40 | 4% | 2–20 | $916 – $996 |
| 3 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | 2–20 | $1.2k – $1.2k |
| 4 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 1 | $672 | $672 | — | — | — | $672 – $672 |
| 5 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $672 | $672 | — | — | — | $672 – $672 |
| 6 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 7 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 8 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 9 | Advocate Christ Medical Center Oak Lawn, IL facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 10 | Advocate Condell Medical Center Libertyville, IL fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 11 | Advocate Good Samaritan Hospital Downers Grove, IL fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 12 | Advocate Good Shepherd Hospital Barrington, IL fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 13 | Advocate Illinois Masonic Medical Center Chicago, IL fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 14 | Advocate Lutheran General Hospital Park Ridge, IL fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | Advocate Sherman Hospital Elgin, IL fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 16 | Advocate South Suburban Hospital Hazel Crest, IL fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 17 | Advocate Trinity Hospital Chicago, IL fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 18 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 19 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 20 | Aurora BayCare Medical Center Green Bay, WI fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 21 | Aurora Lakeland Medical Center Elkhorn, WI fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 22 | Aurora Medical Center Bay Area Marinette, WI fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 23 | Aurora Medical Center Burlington Burlington, WI fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 24 | Aurora Medical Center Fond du Lac Fond Du Lac, WI fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 25 | Aurora Medical Center Grafton Grafton, WI fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
← Payers reporting HCPCS A9526 · Snapshot 20261111T120946Z-9134e7f7