NDC 17856-0962-02
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 Powder 4.25 g Packet
Low
$6
Average
$240
Median
$316
High
$316
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. 12 hospitals; the 90th percentile is 17.4× 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 | Curators of the University of Missouri Columbia, MO | $7 | $6 | $2 | 26% | — | $3 – $9 |
| 2 | Boston Children's Hospital Boston, MA | $316 | $310 | $54 | 17% | — | $206 – $400 |
| 3 | Boston Children's Hospital Waltham, MA | $319 | $313 | $55 | 18% | — | $206 – $400 |
| 4 | Boston Children's Hospital Needham, MA | $325 | $316 | $56 | 18% | — | $206 – $400 |
| 5 | Boston Children's Hospital Dartmouth, MA | $325 | $316 | $56 | 18% | — | $206 – $400 |
| 6 | Boston Children's Hospital Lexington, MA | $325 | $316 | $56 | 18% | — | $206 – $400 |
| 7 | Boston Children's Hospital Brookline, MA | $325 | $316 | $56 | 18% | — | $206 – $400 |
| 8 | Boston Children's Hospital Weymouth, MA | $325 | $316 | $56 | 18% | — | $206 – $400 |
| 9 | Boston Children's Hospital Peabody, MA | $325 | $316 | $56 | 18% | — | $206 – $400 |
| 10 | Boston Children's Hospital Boston, MA | $325 | $316 | $56 | 18% | — | $206 – $400 |
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