NDC 01490-0039-16
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 subsalicylate 262 mg/15 mL, 120 mL Susp
Low
$12
Average
$15
Median
$15
High
$19
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Simi Valley Hospital And Health Care Services Valley, CA | $12 | $12 | $1 | 5% | — | $7 – $31 |
| 2 | White Memorial Medical Center Angeles, CA | $19 | $19 | $1 | 5% | — | $10 – $149 |
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