NDC 24201-0201-05
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
SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION
Low
$21
Average
$207
Median
$85
High
$431
Filter by billing methodology
Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
Showing only prices reported under the case rate methodology. Choose another in the filter above to change the chart. 11 hospitals; the 90th percentile is 19.6× 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 | Boston Children's Hospital Boston, MA | $31 | $31 | — | — | 172 | $31 – $31 |
| 2 | Methodist Lebonheur Childrens Hosp MEMPHIS, TN | $21 | $21 | — | — | — | $21 – $21 |
| 3 | Southcoast Hospitals Group, Inc. Bedford, MA | $412 | $412 | — | — | — | $412 – $412 |
| 4 | Northwest Sahurita Hospital LLC Tucson, AZ | $77 | $85 | $14 | 16% | — | $73 – $104 |
| 5 | Boston Medical Center Boston, MA | $431 | $431 | — | — | — | $431 – $431 |
| 6 | Methodist University Hospital MEMPHIS, TN | $21 | $21 | — | — | — | $21 – $21 |
| 7 | Southcoast Hospitals Group, Inc. Wareham, MA | $412 | $412 | — | — | — | $412 – $412 |
| 8 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $278 | $278 | — | — | — | $278 – $278 |
| 9 | Oro Valley Hospital LLC Tucson, AZ | $77 | $85 | $14 | 16% | — | $73 – $104 |
| 10 | Southcoast Hospitals Group, Inc. River, MA | $412 | $412 | — | — | — | $412 – $412 |
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