NDC 51754-6000-01
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
glycopyrrolate (PF) 0.2 mg/mL Soln 1 mL VIAL
Reported by 37 hospitals in the network under the other methodology.
Low
$1
Average
$10
Median
$1
High
$41
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. 37 hospitals; the 90th percentile is 75.8× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | Location | Std dev as a share of this hospital’s average price: how widely its filed prices for this code vary relative to its own price level, so hospitals can be compared. The spread is across payers, plans and settings, so contract mix can drive it as well as pricing discipline. | 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 | Kaiser Foundation Hospital - Roseville | ROSEVILLE, CA | $0 | $1 | $0 | 26% | — | $0 | $1 |
| 2 | Kaiser Foundation Hospital - Santa Clara | SANTA CLARA, CA | $0 | $1 | $0 | 26% | — | $0 | $1 |
| 3 | Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $0 | $1 | $0 | 26% | — | $0 | $1 |
| 4 | Kaiser Foundation Hospital - Modesto | 95356, CA | $0 | $1 | $0 | 26% | — | $0 | $1 |
| 5 | Kaiser Foundation Hospital - South Sacramento | SACRAMENTO, CA | $0 | $1 | $0 | 26% | — | $0 | $1 |
| 6 | Kaiser Foundation Hospital - Sacramento | SACRAMENTO, CA | $0 | $1 | $0 | 26% | — | $0 | $1 |
| 7 | Kaiser Foundation Hospital & Rehab Center - Vallejo | VALLEJO, CA | $0 | $1 | $0 | 26% | — | $0 | $1 |
| 8 | Kaiser Foundation Hospital - San Francisco | SAN FRANCISCO, CA | $0 | $1 | $0 | 26% | — | $0 | $1 |
| 9 | Kaiser Foundation Hospital - Walnut Creek | WALNUT CREEK, CA | $0 | $1 | $0 | 26% | — | $0 | $1 |
| 10 | Kaiser Foundation Hospital - San Jose | SAN JOSE, CA | $0 | $1 | $0 | 26% | — | $0 | $1 |
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