NDC 121115440
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
00121-1154-40 - lactulose 20 gm Syrup 30 mL UD
Reported by 5 hospitals in the network under the fee schedule methodology.
Low
$2
Average
$66
Median
$8
High
$304
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Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 5 hospitals; the 90th percentile is 76.3× 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 | Dukes Health System LLC | Peru, IN | $8 | $11 | $4 | — | $8 | $41 |
| 2 | Laredo Texas Hospital Company LP | Laredo, TX | $2 | $2 | $1 | — | $2 | $31 |
| 3 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $8 | $8 | — | — | $1 | $8 |
| 4 | Allina Health Systems | Ulm, MN | $3 | $3 | $0 | — | $1 | $6 |
| 5 | Parrish Medical Center | TITUSVILLE, FL | $373 | $304 | $149 | — | $0 | $392 |
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