NDC 63261-0250-21
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
ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION
Low
$0
Average
$791
Median
$14
High
$9.0k
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Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 14 hospitals; the 90th percentile is 75.9× 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 | Methodist Hospitals of Dallas Mansfield, TX | $10 | $13 | $5 | 36% | 1–10 | $10 – $1.6k |
| 2 | Northwest Sahurita Hospital LLC Tucson, AZ | $7 | $11 | $6 | 56% | — | $7 – $43 |
| 3 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $7 | $11 | $6 | 56% | — | $7 – $43 |
| 4 | Oro Valley Hospital LLC Tucson, AZ | $7 | $11 | $6 | 53% | — | $7 – $65 |
| 5 | Northwest Hospital LLC Tucson, AZ | $7 | $11 | $5 | 51% | — | $7 – $65 |
| 6 | Gadsden Regional Medical Center LLC Gadsden, AL | $300 | $300 | — | — | — | $300 – $300 |
| 7 | Laredo Texas Hospital Company LP Laredo, TX | $81 | $81 | $2 | 2% | — | $42 – $801 |
| 8 | Poplar Bluff Regional Medical Center LLC Poplar Bluff, MO | $7.9k | $9.0k | $2.7k | 30% | — | $4.2k – $21.4k |
| 9 | La Porte Hospital Company LLC La Porte, IN | $833 | $833 | — | — | — | $833 – $2.9k |
| 10 | UCLA West Valley Medical Center West Hills, CA | $0 | $0 | $0 | 2% | — | $0 – $7.2k |
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