NDC 69918-0720-10
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
ARSENIC TRIOXIDE 1 MG/ML IV SOLN
Reported by 29 hospitals in the network under the fee schedule methodology.
Low
$10
Average
$53
Median
$14
High
$444
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. 29 hospitals; the 90th percentile is 8.0× 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 | Gundersen Luthern Medical Center Inc | La Crosse, WI | $10 | $19 | $24 | — | $7 | $84 |
| 2 | Sanford Fargo Medical Center | Fargo, ND | $9 | $12 | $5 | — | $8 | $450 |
| 3 | Sanford USD Medical Center | Sioux Falls, SD | $9 | $13 | $5 | — | $8 | $777 |
| 4 | Chi Memorial Hospital - Georgia | Ringgold, GA | $560 | $444 | $291 | — | $4 | $755 |
| 5 | Memorial Health Care System Inc. | Hixson, TN | $490 | $365 | $305 | — | $4 | $793 |
| 6 | Memorial Health Care System Inc. | Chattanooga, TN | $560 | $377 | $302 | — | $4 | $793 |
| 7 | Henry Ford Health System | Detroit, MI | $14 | $14 | $7 | — | $4 | $22 |
| 8 | Henry Ford Health System | West Bloomfield, MI | $13 | $11 | $5 | — | $4 | $20 |
| 9 | Henry Ford Macomb Hospital Corporation | Clinton Twp, MI | $12 | $11 | $5 | — | $4 | $20 |
| 10 | Henry Ford Wyandotte Hospital | Wyandotte, MI | $16 | $22 | $23 | — | $4 | $91 |
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