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
57074-0001-77 - aluminum sulfate-calcium acetate t
Reported by 21 hospitals in the network under the other methodology.
Low
$0
Average
$8
Median
$2
High
$74
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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. 21 hospitals; the 90th percentile is 1385.0× 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.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Joseph Health System, LLC Wayne, IN | $5 | $5 | — | — | — | $1 – $5 |
| 2 | Wesley Health System LLC Hattiesburg, MS | $9 | $9 | $1 | 14% | — | $1 – $11 |
| 3 | Vicksburg Healthcare LLC Vicksburg, MS | $14 | $14 | $6 | 41% | — | $3 – $19 |
| 4 | Victoria of Texas LP Victoria, TX | $8 | $14 | $13 | 91% | — | $3 – $47 |
| 5 | Victoria of Texas LP Victoria, TX | $8 | $14 | $13 | 91% | — | $3 – $47 |
| 6 | Triad of Alabama LLC Dothan, AL | $5 | $5 | — | — | — | $5 – $5 |
| 7 | Affinity Hospital LLC Birmingham, AL | $74 | $74 | $18 | 25% | — | $14 – $92 |
| 8 | Gadsden Regional Medical Center LLC Gadsden, AL | $8 | $8 | — | — | — | $8 – $8 |
| 9 | Laredo Texas Hospital Company LP Laredo, TX | $1 | $1 | $0 | 3% | — | $0 – $8 |
| 10 | Poplar Bluff Regional Medical Center LLC Poplar Bluff, MO | $1 | $1 | — | — | — | $0 – $2 |
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