NDC 00264-9594-20
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
LIDO 0.4%1GM/D5W250PBJWTB
Low
$0
Average
$27
Median
$0
High
$180
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 70 hospitals; the 90th percentile is 9086.9× 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 | Dignity Community Care Northridge, CA | $29 | $42 | $24 | 57% | — | $16 – $78 |
| 2 | Agh Laveen Llc Phoenix, AZ | $186 | $157 | $118 | 75% | — | $0 – $286 |
| 3 | Dignity Community Care Los Angeles, CA | $70 | $60 | $26 | 44% | — | $28 – $111 |
| 4 | Dignity Health Las Vegas, NV | $30 | $36 | $16 | 46% | — | $16 – $66 |
| 5 | Agh Mesa Llc Mesa, AZ | $186 | $157 | $118 | 75% | — | $0 – $286 |
| 6 | Dignity Health Sacramento, CA | $64 | $61 | $15 | 25% | — | $20 – $81 |
| 7 | Dignity Health Folsom, CA | $61 | $55 | $22 | 40% | — | $9 – $81 |
| 8 | Sierra Nevada Memorial-miners Hospital Grass Valley, CA | $70 | $68 | $10 | 14% | — | $38 – $77 |
| 9 | Dignity Health Henderson, NV | $30 | $36 | $16 | 46% | — | $16 – $66 |
| 10 | Dignity Health Carmichael, CA | $63 | $58 | $23 | 39% | — | $9 – $81 |
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