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NDC 00264-4204-52

MAGNESIUM SULFATE IN WATER 2 GRAM/50 ML (4 %) IV PGBK

Reported by 48 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Based on 13,602–13,953 billing samples across every hospital reporting.

Low

$1

Average

$29

Median

$13

High

$448

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - BrightonBrighton, MI$8$9$46,250$4$17
2Mercy Health Hackley CampusMuskogen, MI$9$11$32,950$7$17
3Mount Carmel St Ann'sWesterville, OH$5$16$811,700$5$632
4Mercy Health Lakeshore CampusShelby, MI$15$14$31,200$3$16
5Saint Alphonsus Medical Center - NampaNampa, ID$12$12$31,025$2$15
6Dignity HealthCarmichael, CA$1$13$18248–320$1$51
7CHI St. Vincent Hospital Hot SpringsHot Springs, AR$10$11$886–140$1$23
8Dignity HealthSacramento, CA$1$14$1950–68$0$49
9Dignity HealthFolsom, CA$1$13$2010–100$0$50
10Mount Carmel New Albany Surgical HospitalNew Albany, OH$5$16$8150$5$632
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Look up this code directly

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