NDC 121074710
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
sucralfate 1 g/10 mL Oral Susp [CITY]
Based on 460–478 billing samples across every hospital reporting.
Low
$24
Average
$950
Median
$73
High
$3.9k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 9 hospitals; the 90th percentile is 98.9× 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 | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Tri-City Medical Center Oceanside, CA | $569 | $734 | $330 | 45% | 460–478 | $244 – $1.3k |
| 2 | IOM Health System LP Fort Wayne, IN | $35 | $40 | $15 | 37% | — | $18 – $66 |
| 3 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN | $67 | $73 | $26 | 35% | — | $33 – $138 |
| 4 | St. Joseph Health System, LLC Wayne, IN | $51 | $55 | $20 | 37% | — | $21 – $89 |
| 5 | Good Samaritan Medical Center, Llc Dba LAFAYETTE, CO | $76 | $76 | $31 | 41% | — | $25 – $133 |
| 6 | Holy Rosary Healthcare Dba Intermountain Health Holy Rosary Hospital CITY, MT | $69 | $68 | $6 | 9% | — | $36 – $76 |
| 7 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $23 | $24 | $11 | 44% | — | $4 – $36 |
| 8 | Arkansas Childrens Hospital Little Rock, AR | $3.9k | $3.9k | $437 | 11% | — | $3.1k – $5.2k |
| 9 | Arkansas Childrens Northwest Springdale, AR | $3.6k | $3.5k | $227 | 6% | — | $3.1k – $5.2k |
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