NDC 11523-7268-03
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
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET
Based on 36–171 billing samples across every hospital reporting.
Low
$0
Average
$187
Median
$3
High
$8.5k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 175 hospitals; the 90th percentile is 57.8× 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 | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Temple University Hospital, Inc.- Main Campus Philadelphia, PA | $4 | $9 | $30 | 324% | 22–31 | $1 – $185 |
| 2 | Norton Hospitals INC Louisville, KY | $1 | $2 | $2 | 98% | 4–40 | $0 – $7 |
| 3 | Norton Kings Daughters Health Inc Madison, IN | $4 | $6 | $3 | 50% | 2–20 | $1 – $10 |
| 4 | Naples HMA LLC Naples, FL | $1 | $1 | $0 | 58% | 1–10 | $0 – $2 |
| 5 | Naples HMA LLC Naples, FL | $1 | $1 | $0 | 56% | 1–10 | $0 – $2 |
| 6 | Naples HMA LLC Naples, FL | $1 | $1 | $0 | 58% | 1–10 | $0 – $2 |
| 7 | Northwest Hospital LLC Tucson, AZ | $1 | $1 | $0 | 65% | 1–10 | $0 – $2 |
| 8 | Affinity Hospital LLC Birmingham, AL | $29 | $27 | $11 | 41% | 1–10 | $7 – $48 |
| 9 | Temple University Hospital - Jeanes Campus Philadelphia, PA | $3 | $20 | $87 | 436% | 1–10 | $1 – $478 |
| 10 | Temple University Hospital - Fox Chase Campus Philadelphia, PA | $4 | $4 | $4 | 81% | 1–10 | $1 – $21 |
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