NDC 57074-0001-77
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
Aluminum Sulfate Calcium Acetate Powd Pack
Reported by 14 hospitals in the network under the fee schedule methodology.
Low
$0
Average
$5
Median
$3
High
$53
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Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 14 hospitals; the 90th percentile is 417.0× 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 | Victoria of Texas LP Victoria, TX | $3 | $4 | $2 | 53% | — | $3 – $47 |
| 2 | Victoria of Texas LP Victoria, TX | $3 | $4 | $2 | 53% | — | $3 – $47 |
| 3 | Laredo Texas Hospital Company LP Laredo, TX | $0 | $1 | $0 | 35% | — | $0 – $8 |
| 4 | Longview Medical Center LP Longview, TX | $0 | $0 | $0 | 67% | — | $0 – $2 |
| 5 | Vanderbilt Wilson County Hospital Lebanon, TN | $0 | $0 | — | — | — | $0 – $2 |
| 6 | Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN | $0 | $0 | — | — | — | $0 – $2 |
| 7 | Vanderbilt University Medical Center Nashville, TN | $0 | $0 | — | — | — | $0 – $2 |
| 8 | Vanderbilt Bedford Hospital Shelbyville, TN | $0 | $0 | — | — | — | $0 – $2 |
| 9 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $3 | $3 | — | — | — | $0 – $3 |
| 10 | Good Samaritan Hospital Lebanon, PA | $2 | $2 | — | — | — | $2 – $16 |
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