NDC 25431-0424-02
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
25431-0424-02 - indocyanine green 25. mg REC Injec
Reported by 21 hospitals in the network under the other methodology.
Based on 7–70 billing samples across every hospital reporting.
Low
$51
Average
$838
Median
$475
High
$3.2k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 21 hospitals; the 90th percentile is 11.6× 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 | 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 | Naples HMA LLC | Naples, FL | $1.0k | $954 | $238 | 2–20 | $188 | $1.0k |
| 2 | Naples HMA LLC | Naples, FL | $1.0k | $954 | $238 | 2–20 | $188 | $1.0k |
| 3 | Naples HMA LLC | Naples, FL | $1.0k | $918 | $247 | 1–10 | $188 | $1.0k |
| 4 | Oro Valley Hospital LLC | Tucson, AZ | $189 | $235 | $73 | 1–10 | $73 | $566 |
| 5 | Gadsden Regional Medical Center LLC | Gadsden, AL | $2.5k | $2.5k | — | 1–10 | $2.5k | $2.5k |
| 6 | Bluffton Health System LLC | Bluffton, IN | $564 | $564 | — | — | $521 | $2.0k |
| 7 | Dukes Health System LLC | Peru, IN | $694 | $680 | $121 | — | $401 | $2.2k |
| 8 | St. Joseph Health System, LLC | Wayne, IN | $2.2k | $2.2k | — | — | $521 | $2.2k |
| 9 | Northwest Sahurita Hospital LLC | Tucson, AZ | $189 | $187 | $3 | — | $73 | $378 |
| 10 | Northwest Sahurita Hospital LLC | Sahuarita, AZ | $189 | $187 | $3 | — | $73 | $378 |
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