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
PEDIALYTE-UNFLAVORED
Based on 6–60 billing samples across every hospital reporting.
Low
$1
Average
$38
Median
$4
High
$2.5k
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 330 hospitals; the 90th percentile is 11.6× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Hospital Service District No 1 Parish of Avoyelles State of Louisiana Bunkie, LA | $5 | $5 | $0 | 4% | 6–60 | $5 – $6 |
| 2 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Beth Israel Deaconess Hospital - Needham Needham, MA | $3 | $3 | — | — | — | $3 – $3 |
| 4 | Fairview Health Services Edina, MN | $6 | $98 | $200 | 204% | — | $1 – $610 |
| 5 | Mayo Regional Hospital Dover Foxcroft, ME | $3 | $3 | $1 | 49% | — | $0 – $5 |
| 6 | Hoopeston Community Memorial Hospital Hoopeston, IL | $4 | $4 | — | — | — | $4 – $4 |
| 7 | Newark-Wayne Community Hospital Newark, NY | $3 | $3 | $0 | 12% | — | $3 – $4 |
| 8 | William Beaumont Hospital Grosse Pointe, MI | $5 | $5 | — | — | — | $5 – $5 |
| 9 | Westfield Memorial Hospital Inc WESTFIELD, NY | $3 | $3 | $1 | 18% | — | $3 – $5 |
| 10 | Sanford USD Medical Center Sioux Falls, SD | $1 | $1 | — | — | — | $1 – $1 |
Ask Claude or any MCP client for HCPCS B4103 pricing at a specific hospital — see how to connect.