NDC 00143-9570-10

SODIUM FERRIC GLUCONAT-SUCROSE 62.5 MG/5 ML IV SOLN

Reported by 25 hospitals in the network under the other methodology.

Filter by billing methodology

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$18

Average

$134

Median

$98

High

$458

#	Hospital	Location
1	Ochsner Clinic Foundation	Orleans, LA	$104	$129	$81	—	$2	$309
2	East Baton Rouge Medical Center, Llc	Baton Rouge, LA	$86	$95	$51	—	$2	$195
3	University Health Shreveport, Llc	Shreveport, LA	$121	$104	$53	—	$2	$172
4	Brfhh Monroe, Llc	Monroe, LA	$106	$98	$56	—	$2	$172
5	Ochsner Bayou Llc	Raceland, LA	$71	$92	$49	—	$2	$219
6	Southern Regional Medical Corporation	Houma, LA	$52	$70	$35	—	$2	$162
7	Hospital Service District No. 1 Of The Parish Of St. Charles, State Of Louisiana	LULING, LA	$130	$141	$41	—	$2	$249
8	Ochsner Lsu Health Shreveport - St. Mary Medical Center, Llc	Shreveport, LA	$93	$99	$51	—	$2	$160
9	Lafayette General Medical Center Inc	Lafayette, LA	$95	$155	$104	—	$2	$467
10	Ochsner American Legion Hospital, LLC	Jennings, LA	$171	$183	$29	—	$2	$308

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