NDC 67457-0163-02
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
SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION
Low
$0
Average
$206
Median
$148
High
$1.6k
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 81 hospitals; the 90th percentile is 43595.0× 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 | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Scotland Memorial Hospital Inc. Laurinburg, NC | $4 | $5 | $6 | 128% | 8,529–8,556 | $0 – $24 |
| 2 | Dukes Health System LLC Peru, IN | $215 | $292 | $115 | 40% | — | $198 – $1.1k |
| 3 | Victoria of Texas LP Victoria, TX | $57 | $76 | $40 | 53% | — | $54 – $854 |
| 4 | Victoria of Texas LP Victoria, TX | $57 | $76 | $40 | 53% | — | $54 – $854 |
| 5 | Longview Medical Center LP Longview, TX | $48 | $72 | $46 | 64% | — | $46 – $1.1k |
| 6 | Agh Laveen Llc Phoenix, AZ | $338 | $284 | $182 | 64% | — | $89 – $521 |
| 7 | Dignity Community Care Woodland, CA | $240 | $214 | $80 | 37% | — | $33 – $300 |
| 8 | Dignity Community Care San Luis Obispo, CA | $638 | $549 | $169 | 31% | — | $203 – $735 |
| 9 | Dignity Community Care Redwood City, CA | $384 | $351 | $143 | 41% | — | $132 – $600 |
| 10 | Dignity Health Las Vegas, NV | $106 | $128 | $59 | 46% | — | $61 – $243 |
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