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
INJECTION, NON-RADIOACTIVE, NON-CONTRAST, VISUALIZATION ADJUNCT (E.G., METHYLENE BLUE, ISOSULFAN BLUE), 1 MG
Low
$23
Average
$2.4k
Median
$1.2k
High
$13.3k
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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. 73 hospitals; the 90th percentile is 112.2× 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 | Holland Community Hospital Holland, MI | $735 | $661 | $201 | 30% | 21 | $3 – $919 |
| 2 | Northwestern Medicine Central DuPage Hospital Winfield, IL | $310 | $298 | $191 | 64% | — | $40 – $586 |
| 3 | Northwestern Memorial Hospital Chicago, IL | $410 | $414 | $174 | 42% | — | $137 – $586 |
| 4 | Northwest Sahurita Hospital LLC Tucson, AZ | $21 | $23 | $11 | 46% | — | $7 – $43 |
| 5 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $21 | $23 | $11 | 46% | — | $7 – $43 |
| 6 | Oro Valley Hospital LLC Tucson, AZ | $36 | $37 | $18 | 48% | — | $7 – $65 |
| 7 | Northwest Hospital LLC Tucson, AZ | $32 | $34 | $18 | 53% | — | $7 – $65 |
| 8 | Gadsden Regional Medical Center LLC Gadsden, AL | $189 | $169 | $67 | 39% | — | $36 – $1.5k |
| 9 | Roswell Hospital Corporation Roswell, NM | $3.1k | $2.8k | $788 | 28% | — | $856 – $3.9k |
| 10 | Laredo Texas Hospital Company LP Laredo, TX | $586 | $532 | $207 | 39% | — | $42 – $801 |
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