NDC 00906-9904-41
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.
Generation details were not recorded for this description.
Original text from hospital filings
SUCROSE 24 % ORAL SOLN
Reported by 25 hospitals in the network under the percent of billed charges methodology.
Based on 560–569 billing samples across every hospital reporting.
Low
$0
Average
$4
Median
$1
High
$26
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 25 hospitals; the 90th percentile is 15.0× 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 | 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 | Glendale Adventist Medical Center | Glendale, CA | $2 | $2 | $1 | 431–440 | $1 | $11 |
| 2 | White Memorial Medical Center | Angeles, CA | $24 | $26 | $9 | 92 | $11 | $166 |
| 3 | Rideout Memorial Hospital | Marysville, CA | $3 | $3 | $0 | 37 | $2 | $6 |
| 4 | Northwestern Memorial Hospital | Chicago, IL | $22 | $19 | $7 | — | $6 | $27 |
| 5 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital | McHenry, IL | $10 | $11 | $5 | — | $4 | $22 |
| 6 | Northwestern Lake Forest Hospital | Lake Forest, IL | $13 | $14 | $7 | — | $4 | $27 |
| 7 | Saint Marys Hospital | Waterbury, CT | $1 | $1 | $0 | — | $0 | $2 |
| 8 | Saint Alphonsus Regional Medical Center - Boise | Boise, ID | $2 | $1 | $0 | — | $1 | $2 |
| 9 | Saint Francis Hospital and Medical Center | Hartford, CT | $1 | $1 | $0 | — | $0 | $2 |
| 10 | Mercy Health Hackley Campus | Muskogen, MI | $1 | $1 | $0 | — | $1 | $2 |
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