NDC 38779-1046-04
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
bismuth subgallate - pwd 25gm
Low
$21
Average
$107
Median
$62
High
$269
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. 18 hospitals; the 90th percentile is 10.4× 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 | Sonora Community Hospital Sonora, CA | $76 | $70 | $13 | 18% | 95–113 | $45 – $133 |
| 2 | White Memorial Medical Center Angeles, CA | $21 | $24 | $8 | 33% | 92 | $10 – $150 |
| 3 | Sanford Fargo Medical Center Fargo, ND | $22 | $21 | $7 | 33% | — | $9 – $28 |
| 4 | Northside Hospital, Inc. Lawrenceville, GA | $20 | $21 | $5 | 25% | — | $4 – $29 |
| 5 | Northside Hospital, Inc. Canton, GA | $20 | $21 | $5 | 25% | — | $3 – $29 |
| 6 | Northside Hospital, Inc. Atlanta, GA | $19 | $21 | $5 | 25% | — | $5 – $29 |
| 7 | Northside Hospital, Inc. Duluth, GA | $20 | $21 | $5 | 25% | — | $4 – $29 |
| 8 | Northside Hospital, Inc. Cumming, GA | $19 | $21 | $5 | 25% | — | $3 – $29 |
| 9 | Henry Ford Health System Detroit, MI | $210 | $209 | $48 | 23% | — | $107 – $308 |
| 10 | Henry Ford Health System West Bloomfield, MI | $201 | $207 | $57 | 27% | — | $107 – $308 |
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