NDC 00904-1313-09
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
BISMUTH SUBSALIC SUSP 262 MG/15 ML 236ml [CRHS]
Reported by 63 hospitals in the network.
Based on 481–517 billing samples across every hospital reporting.
Low
$1
Average
$152
Median
$3
High
$8.5k
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 63 hospitals; the 90th percentile is 5.9× 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 | Location | Std dev as a share of this hospital’s average price: how widely its filed prices for this code vary relative to its own price level, so hospitals can be compared. The spread is across payers, plans and settings, so contract mix can drive it as well as pricing discipline. | Approximate 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. | |||||
|---|---|---|---|---|---|---|---|---|---|
| 1 | Columbus Regional Healthcare System, Inc | Whiteville, NC | $2 | $1 | $1 | 47% | 481–517 | $1 | $2 |
| 2 | Northwest Iowa Hospital Corporation | Sioux City, IA | $1 | $1 | $0 | 23% | — | $0 | $1 |
| 3 | Allen Memorial Hospital Corporation | Waterloo, IA | $1 | $1 | $0 | 17% | — | $0 | $1 |
| 4 | Commonspirit Oregon | Pendleton, OR | $30 | $26 | $7 | 26% | — | $11 | $32 |
| 5 | Spohn Hospital Corpus Christi - Shoreline | Corpus Christi, TX | $6 | $6 | $1 | 26% | — | $3 | $6 |
| 6 | Baylor Scott & White Medical Center - Temple | Temple, TX | $3 | $3 | $1 | 29% | — | $1 | $5 |
| 7 | Baylor Scott & White Medical Center - Brenham | Brenham, TX | $3 | $2 | $1 | 55% | — | $1 | $5 |
| 8 | Baylor Scott & White Medical Center - Taylor | Taylor, TX | $3 | $2 | $1 | 43% | — | $1 | $4 |
| 9 | Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $3 | $3 | $1 | 29% | — | $1 | $4 |
| 10 | Baylor University Medical Center | Dallas, TX | $3 | $354 | $1.5k | 428% | — | $1 | $7.4k |
Ask Claude or any MCP client for NDC 00904-1313-09 pricing at a specific hospital — see how to connect.