NDC 517820125
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
trace elements with selenium 10 mcg-1 mg-0.5 mg-60 mcg-5 mg/mL IV Sol 1 mL [CITY]
Reported by 17 hospitals in the network under the percent of billed charges methodology.
Low
$6
Average
$80
Median
$67
High
$151
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. 17 hospitals; the 90th percentile is 9.4× 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 | Tri-City Medical Center Oceanside, CA | $30 | $39 | $17 | 45% | 460–478 | $13 – $68 |
| 2 | IOM Health System LP Fort Wayne, IN | $109 | $123 | $45 | 37% | — | $56 – $204 |
| 3 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN | $111 | $119 | $42 | 35% | — | $54 – $226 |
| 4 | St. Joseph Health System, LLC Wayne, IN | $117 | $131 | $48 | 37% | — | $51 – $213 |
| 5 | Vicksburg Healthcare LLC Vicksburg, MS | $115 | $145 | $83 | 57% | — | $52 – $384 |
| 6 | Northwest Sahurita Hospital LLC Tucson, AZ | $10 | $16 | $9 | 57% | — | $8 – $63 |
| 7 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $10 | $16 | $9 | 57% | — | $8 – $63 |
| 8 | Affinity Hospital LLC Birmingham, AL | $161 | $151 | $60 | 40% | — | $40 – $242 |
| 9 | Bullhead City Hospital Corporation City, AZ | $89 | $96 | $55 | 58% | — | $25 – $185 |
| 10 | East Georgia Regional Medical Center LLC Statesboro, GA | $6 | $6 | $4 | 64% | — | $1 – $900 |
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