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
$0
Average
$1.8k
Median
$2.8k
High
$3.2k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
15 hospitals; the 90th percentile is 289600.0× 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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16 hospital rates
iThe hospitals that file a WellCare 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 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 1 | $2.8k | $2.8k | $135 | 5% | — | $2.6k – $2.9k |
| 2 | Franklin Woods Community Hospital JOHNSON CITY, TN percent of total billed charges · bothfrom % of charges | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 3 | Greeneville Community Hospital GREENEVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $2.8k | $2.8k | $135 | 5% | — | $2.6k – $2.9k |
| 4 | Hawkins County Memorial Hospital ROGERSVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $2.8k | $2.8k | $135 | 5% | — | $2.6k – $2.9k |
| 5 | Holston Valley Medical Center KINGSPORT, TN percent of total billed charges · bothfrom % of charges | 1 | $2.8k | $2.8k | $135 | 5% | — | $2.6k – $2.9k |
| 6 | Indian Path Community Hospital KINGSPORT, TN percent of total billed charges · bothfrom % of charges | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 7 | Johnson City Medical Center JOHNSON CITY, TN percent of total billed charges · bothfrom % of charges | 1 | $2.8k | $2.8k | $135 | 5% | — | $2.6k – $2.9k |
| 8 | Johnson County Community Hospital MOUNTAIN CITY, TN percent of total billed charges · bothfrom % of charges | 1 | $762 | $762 | — | — | — | $762 – $762 |
| 9 | Sycamore Shoals Hospital ELIZABETHTON, TN percent of total billed charges · bothfrom % of charges | 1 | $2.8k | $2.8k | $135 | 5% | — | $2.6k – $2.9k |
| 10 | University Hospitals Health System Geneva, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $244 | $244 | — | — | — | $244 – $244 |
| 11 | University Hospitals Health System Conneaut, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $378 | $378 | — | — | — | $378 – $378 |
| 12 | Vanderbilt Bedford Hospital Shelbyville, TN fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Vanderbilt University Medical Center Nashville, TN fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 1 | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 16 | Vanderbilt Wilson County Hospital Lebanon, TN fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS A9526 · Snapshot 20261111T120946Z-9134e7f7