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
$0
Average
$194
Median
$192
High
$727
Filter by billing methodology
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. 41 hospitals; the 90th percentile is 430.0× 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 | Scotland Memorial Hospital Inc. Laurinburg, NC | $4 | $5 | $6 | 128% | 8,529–8,556 | $0 – $24 |
| 2 | Northside Hospital, Inc. Lawrenceville, GA | $430 | $430 | — | — | — | $430 – $430 |
| 3 | Dignity Health Carmichael, CA | $278 | $260 | $95 | 37% | — | $41 – $370 |
| 4 | Vanderbilt Bedford Hospital Shelbyville, TN | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Vanderbilt University Medical Center Nashville, TN | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Northside Hospital, Inc. Atlanta, GA | $430 | $430 | — | — | — | $430 – $430 |
| 7 | Grossmont Hospital Corporation La Mesa, CA | $1 | $1 | $0 | 6% | — | $1 – $1 |
| 8 | Dignity Health Red Bluff, CA | $388 | $413 | $81 | 20% | — | $266 – $521 |
| 9 | Sierra Nevada Memorial-miners Hospital Grass Valley, CA | $282 | $281 | $40 | 14% | — | $159 – $324 |
| 10 | Dignity Community Care Sacramento, CA | $300 | $275 | $86 | 31% | — | $93 – $370 |
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