NDC 57896-0489-30
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
POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDER
Based on 108–153 billing samples across every hospital reporting.
Low
$1
Average
$860
Median
$11
High
$10.4k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 13 hospitals; the 90th percentile is 35.6× 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 | Children's Healthcare of Atlanta Atlanta, GA | $1 | $1 | $0 | 24% | 103 | $0 – $1 |
| 2 | Norton Hospitals INC Louisville, KY | $5 | $11 | $10 | 89% | 4–40 | $1 – $28 |
| 3 | Norton Kings Daughters Health Inc Madison, IN | $30 | $28 | $5 | 18% | 1–10 | $8 – $32 |
| 4 | Lucile Salter Packard Children's Hospital At Stanford PALO ALTO, CA | $90 | $10.4k | $13.0k | 125% | — | $73 – $28.5k |
| 5 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $448 | $448 | — | — | — | $448 – $448 |
| 6 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL | $25 | $152 | $867 | 569% | — | $5 – $8.5k |
| 7 | Norton Hospitals INC Louisville, KY | $5 | $11 | $10 | 88% | — | $1 – $31 |
| 8 | Norton Hospitals INC Louisville, KY | $5 | $11 | $10 | 88% | — | $1 – $31 |
| 9 | Norton Hospitals INC Louisville, KY | $5 | $11 | $10 | 88% | — | $1 – $31 |
| 10 | Norton Hospitals INC Louisville, KY | $5 | $11 | $10 | 88% | — | $1 – $31 |
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