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
$35
Average
$1.4k
Median
$1.3k
High
$2.8k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
64 hospitals; the 90th percentile is 2.7× 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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82 hospital rates
iThe hospitals that file a First Health 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 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 3 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 4 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 5 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 6 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 7 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 8 | Boston Children's Hospital Peabody, MA percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 9 | Boston Children's Hospital Waltham, MA percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | Boston Children's Hospital Needham, MA percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | Boston Children's Hospital Weymouth, MA percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 12 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 1 | $2.1k | $2.1k | $104 | 5% | — | $2.0k – $2.2k |
| 13 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $813 | $813 | — | — | — | $813 – $813 |
| 14 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 16 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $813 | $813 | — | — | — | $813 – $813 |
| 17 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | Greeneville Community Hospital GREENEVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $2.2k | $2.2k | $108 | 5% | — | $2.1k – $2.3k |
| 20 | Greenfield Area Medical Center Greenfield, OH facility · fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 21 | Hawkins County Memorial Hospital ROGERSVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $2.5k | $2.5k | $121 | 5% | — | $2.4k – $2.6k |
| 22 | Holston Valley Medical Center KINGSPORT, TN percent of total billed charges · bothfrom % of charges | 1 | $2.1k | $2.1k | $104 | 5% | — | $2.0k – $2.2k |
| 23 | Holy Family Memorial Inc Manitowoc, WI percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 24 | Holy Family Memorial Inc Manitowoc, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 25 | Holy Name Teaneck, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $289 | $289 | — | — | — | $289 – $289 |
← Payers reporting HCPCS A9526 · Snapshot 20261111T120946Z-9134e7f7