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NDC 00338001702

DEXTROSE 5 INJECTION 250ML

Reported by 8 hospitals in the network under the other methodology.

Filter by billing methodology

All methodologiesCase rateFee schedulePer diemPercent of billed chargesOther

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

National pricing summary

Based on 140–608 billing samples across every hospital reporting.

Low

$2

Average

$103

Median

$141

High

$146

Hospitals reporting NDC 00338001702

#	Hospital	Location
1	Fairview Health Services	Minneapolis, MN	$140	$104	$41	25–250	$2	$140
2	Northside Hospital, Inc.	Atlanta, GA	$131	$142	$60	91–118	$34	$233
3	Fairview Health Services	Burnsville, MN	$2	$2	—	11–110	$2	$63
4	Northside Hospital, Inc.	Lawrenceville, GA	$131	$145	$61	7–70	$31	$598
5	Northside Hospital, Inc.	Canton, GA	$131	$141	$61	3–30	$31	$233
6	Northside Hospital, Inc.	Cumming, GA	$131	$141	$61	3–30	$30	$233
7	Northside Hospital, Inc.	Duluth, GA	$131	$146	$60	—	$36	$598
8	Allina Health Systems	Rapids, MN	$2	$2	$0	—	$0	$37

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