NDC 51991-0457-58
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
51991-0457-58 - polyethylene glycol 3350 - Powder
Low
$6
Average
$32
Median
$22
High
$89
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. 21 hospitals; the 90th percentile is 3.5× 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 | IOM Health System LP Fort Wayne, IN | $14 | $28 | $30 | 107% | — | $1 – $90 |
| 2 | Bluffton Health System LLC Bluffton, IN | $6 | $12 | $12 | 97% | — | $1 – $34 |
| 3 | Dukes Health System LLC Peru, IN | $24 | $43 | $45 | 104% | — | $1 – $142 |
| 4 | Warsaw Health System LLC Warsaw, IN | $18 | $46 | $49 | 106% | — | $1 – $145 |
| 5 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN | $8 | $16 | $17 | 106% | — | $0 – $58 |
| 6 | St. Joseph Health System, LLC Wayne, IN | $21 | $49 | $52 | 108% | — | $1 – $154 |
| 7 | Dupont Hospital LLC Wayne, IN | $12 | $26 | $27 | 106% | — | $1 – $81 |
| 8 | Metro Knoxville HMA LLC Powell, TN | $52 | $55 | $26 | 48% | — | $19 – $100 |
| 9 | Knox Hospital Company LLC Knox, IN | $37 | $32 | $9 | 28% | — | $11 – $41 |
| 10 | Boston Children's Hospital Boston, MA | $22 | $22 | $4 | 17% | — | $15 – $28 |
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