NDC 63323-0624-61
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
dextrose 5 in water Soln-IV 100 mL
Reported by 17 hospitals in the network under the other methodology.
Low
$4
Average
$199
Median
$40
High
$1.1k
Filter by billing methodology
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. 17 hospitals; the 90th percentile is 75.3× 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 | Naples HMA LLC Naples, FL | $206 | $189 | $47 | 25% | — | $37 – $206 |
| 2 | Naples HMA LLC Naples, FL | $206 | $181 | $49 | 27% | — | $37 – $206 |
| 3 | Naples HMA LLC Naples, FL | $206 | $189 | $47 | 25% | — | $37 – $206 |
| 4 | Northwest Sahurita Hospital LLC Tucson, AZ | $6 | $6 | $0 | 2% | — | $3 – $21 |
| 5 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $6 | $6 | $0 | 2% | — | $3 – $21 |
| 6 | Oro Valley Hospital LLC Tucson, AZ | $6 | $8 | $2 | 31% | — | $3 – $21 |
| 7 | Northwest Hospital LLC Tucson, AZ | $6 | $8 | $2 | 32% | — | $3 – $21 |
| 8 | Metro Knoxville HMA LLC Knoxville, TN | $36 | $36 | — | — | — | $16 – $59 |
| 9 | Triad of Alabama LLC Dothan, AL | $618 | $618 | — | — | — | $618 – $618 |
| 10 | Affinity Hospital LLC Birmingham, AL | $215 | $215 | $54 | 25% | — | $40 – $269 |
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