NDC 63323-0729-10
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
MYCAMINE 100MG/5ML SOLR
Reported by 24 hospitals in the network under the other methodology.
Low
$2
Average
$246
Median
$124
High
$1.4k
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. 24 hospitals; the 90th percentile is 6.1× 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 | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Northside Hospital, Inc. | Lawrenceville, GA | $44 | $67 | $76 | — | $1 | $291 |
| 2 | Northside Hospital, Inc. | Canton, GA | $43 | $70 | $77 | — | $1 | $291 |
| 3 | Northside Hospital, Inc. | Atlanta, GA | $48 | $73 | $77 | — | $1 | $291 |
| 4 | Northside Hospital, Inc. | Duluth, GA | $43 | $67 | $76 | — | $1 | $291 |
| 5 | Northside Hospital, Inc. | Cumming, GA | $41 | $70 | $77 | — | $1 | $291 |
| 6 | Brfhh Monroe, Llc | Monroe, LA | $80 | $74 | $43 | — | $0 | $130 |
| 7 | Hospital Service District No. 1 Of The Parish Of St. Charles, State Of Louisiana | LULING, LA | $92 | $99 | $29 | — | $0 | $175 |
| 8 | Lafayette General Medical Center Inc | Lafayette, LA | $72 | $117 | $78 | — | $0 | $353 |
| 9 | Ochsner American Legion Hospital, LLC | Jennings, LA | $122 | $131 | $21 | — | $0 | $220 |
| 10 | Hospital Service District Of The Parish Of St. Bernard, State Of Louisiana | Chalmette, LA | $72 | $72 | — | — | $0 | $173 |
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