NDC 66794-0204-02
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
GLYCOPYRROLATE 0.2 MG/ML INJ SOLN
Reported by 11 hospitals in the network under the other methodology.
Based on 33–330 billing samples across every hospital reporting.
Low
$1
Average
$14
Median
$2
High
$110
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. 11 hospitals; the 90th percentile is 22.0× 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 | Fairview Health Services | Minneapolis, MN | $1 | $9 | $16 | 10–100 | $0 | $40 |
| 2 | Norton Hospitals INC | Louisville, KY | $1 | $1 | $0 | 6–60 | $0 | $19 |
| 3 | Fairview Health Services | Edina, MN | $2 | $2 | $0 | 4–40 | $0 | $11 |
| 4 | Fairview Health Services | Burnsville, MN | $1 | $1 | $0 | 4–40 | $1 | $11 |
| 5 | Fairview Health Services | Wyoming, MN | $2 | $2 | $0 | 4–40 | $1 | $11 |
| 6 | Fairview Health Services | Princeton, MN | $1 | $1 | — | 2–20 | $0 | $11 |
| 7 | Pekin Memorial Hospital | Pekin, IL | $2 | $2 | — | 1–10 | $1 | $36 |
| 8 | Methodist Medical Center of Illinois | Peoria, IL | $10 | $10 | — | 1–10 | $1 | $36 |
| 9 | Deaconess Health System Henderson Hospital | Henderson, KY | $110 | $110 | — | 1–10 | $1 | $110 |
| 10 | University Hospital & Clinics, Inc. | Lafayette, LA | $10 | $14 | $10 | — | $0 | $34 |
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