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NDC 00517912025

AMINOCAPROIC ACID 1G(5G)

Reported by 9 hospitals in the network under the other methodology.

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All methodologiesCase rateFee schedulePer diemPercent of billed chargesOther

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

National pricing summary

Low

$13

Average

$24

Median

$29

High

$32

Hospitals reporting this code

#	Hospital	Location
1	Northside Hospital, Inc.	Lawrenceville, GA	$18	$30	$19	—	$14	$95
2	Northside Hospital, Inc.	Canton, GA	$14	$29	$21	—	$11	$95
3	Northside Hospital, Inc.	Atlanta, GA	$19	$32	$19	—	$15	$95
4	Northside Hospital, Inc.	Duluth, GA	$16	$29	$20	—	$12	$95
5	Northside Hospital, Inc.	Cumming, GA	$14	$29	$21	—	$11	$95
6	Allina Health Systems	Rapids, MN	$2	$15	$21	—	$0	$61
7	Allina Health Systems	Buffalo, MN	$2	$16	$22	—	$0	$72
8	Allina Health Systems	Faribualt, MN	$2	$13	$21	—	$0	$72
9	Allina Health Systems	River Falls, WI	$20	$20	$16	—	$1	$72

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