NDC 62559-0157-30
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 Oral Pwdr for Recon 17 g packet [CITY]
Reported by 58 hospitals in the network under the percent of billed charges methodology.
Low
$1
Average
$12
Median
$9
High
$81
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. 58 hospitals; the 90th percentile is 5.0× 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 | Tri-City Medical Center Oceanside, CA | $8 | $11 | $5 | 45% | 460–478 | $4 – $18 |
| 2 | Sanford USD Medical Center Sioux Falls, SD | $52 | $48 | $17 | 35% | — | $20 – $68 |
| 3 | Holy Cross Germantown Hospital Germantown, MD | $1 | $1 | $0 | 3% | — | $1 – $1 |
| 4 | Sunnyview Rehab Hospital Schenectady, NY | $1 | $1 | $0 | 23% | — | $0 – $1 |
| 5 | Samaritan Hospital Troy, NY | $1 | $1 | $0 | 28% | — | $0 – $1 |
| 6 | Scl Health - Montana, Dba Intermountain Health St. Vincent Healthcare Billings, MT | $9 | $9 | $1 | 16% | — | $6 – $11 |
| 7 | St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional Hospital JUNCTION, CO | $10 | $9 | $2 | 23% | — | $4 – $11 |
| 8 | Good Samaritan Medical Center, Llc Dba LAFAYETTE, CO | $11 | $11 | $5 | 41% | — | $4 – $20 |
| 9 | Mary Hitchcock Memorial Hospital Lebanon, NH | $81 | $81 | $29 | 35% | — | $14 – $121 |
| 10 | Indiana University Health West Hospital Inc. Avon, IN | $10 | $10 | $2 | 23% | — | $3 – $13 |
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