NDC 63713-0019-78

SURGIFOAM GELATIN POWDER HEMOSTAT 1.0G

Reported by 16 hospitals in the network under the percent of billed charges methodology.

National pricing summary

Based on 594–621 billing samples across every hospital reporting.

Low

$43

Average

$389

Median

$239

High

$943

Filter by billing methodology

All methodologiesCase rateFee schedulePer diemPercent of billed chargesOther

Reflects a negotiated percentage of total billed charges.

Price distribution

Percent of billed charges methodology

Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 16 hospitals; the 90th percentile is 16.3× 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.

Hospitals reporting NDC 63713-0019-78

#	Hospital	Location
1	Columbus Regional Healthcare System, Inc	Whiteville, NC	$332	$309	$145	594–621	$112	$487
2	Loyola University Medical Center	Maywood, IL	$38	$43	$15	—	$23	$71
3	Ronald Reagan UCLA Medical Center	Los Angeles, CA	$129	$128	$80	—	$46	$924
4	Santa Monica UCLA Medical Center and Orthopaedic Hospital	Santa Monica, CA	$129	$127	$80	—	$46	$924
5	Resnick Neuropsychiatric Hospital at UCLA	Los Angeles, CA	$152	$130	$42	—	$46	$174
6	Penn State Health Milton S. Hershey Medical Center	Hershey, PA	$66	$57	$19	—	$18	$79
7	Penn State Health Hampden Medical Center	Enola, PA	$59	$56	$16	—	$25	$79
8	Curators of the University of Missouri	Columbia, MO	$381	$369	$96	—	$164	$531
9	Bexar County Hospital District	San Antonio, TX	$406	$428	$224	—	$231	$1.6k
10	Memorial Hospital West	Pembroke Pines, FL	$1.1k	$919	$347	—	$261	$2.7k

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