NDC 50633-0110-12
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
CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION
Low
$10
Average
$3.3k
Median
$2.1k
High
$19.8k
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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. 98 hospitals; the 90th percentile is 3.8× 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.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Boston Children's Hospital Boston, MA | $10 | $10 | — | — | 110 | $10 – $6.8k |
| 2 | Wesley Health System LLC Hattiesburg, MS | $1.8k | $1.8k | $14 | 1% | — | $790 – $7.1k |
| 3 | Northwest Sahurita Hospital LLC Tucson, AZ | $77 | $85 | $14 | 16% | — | $73 – $4.7k |
| 4 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $77 | $85 | $14 | 16% | — | $73 – $4.7k |
| 5 | Oro Valley Hospital LLC Tucson, AZ | $77 | $85 | $14 | 16% | — | $73 – $7.1k |
| 6 | Campbell County HMA, LLC LaFollette, TN | $1.1k | $1.1k | — | — | — | $1.1k – $11.7k |
| 7 | Northwest Hospital LLC Tucson, AZ | $77 | $85 | $14 | 16% | — | $73 – $7.1k |
| 8 | Bullhead City Hospital Corporation City, AZ | $96 | $96 | $22 | 22% | — | $75 – $14.7k |
| 9 | Gundersen Luthern Medical Center Inc La Crosse, WI | $3.3k | $3.3k | — | — | — | $1.8k – $3.3k |
| 10 | Sanford Medical Center Bismarck Bismarck, ND | $1.9k | $1.9k | $51 | 3% | — | $1.7k – $4.5k |
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