NDC 93221001
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
sucralfate 1 gm Tab
Reported by 22 hospitals in the network under the other methodology.
Low
$0
Average
$6
Median
$3
High
$38
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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. 22 hospitals; the 90th percentile is 19.8× 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 | Naples HMA LLC Naples, FL | $13 | $11 | $3 | 27% | 1–10 | $2 – $13 |
| 2 | Northwest Hospital LLC Tucson, AZ | $0 | $1 | $0 | 31% | 1–10 | $0 – $2 |
| 3 | Affinity Hospital LLC Birmingham, AL | $38 | $38 | $10 | 25% | 1–10 | $7 – $48 |
| 4 | Bluffton Health System LLC Bluffton, IN | $3 | $3 | — | — | — | $3 – $10 |
| 5 | Dukes Health System LLC Peru, IN | $3 | $3 | $1 | 18% | — | $2 – $10 |
| 6 | St. Joseph Health System, LLC Wayne, IN | $7 | $7 | — | — | — | $2 – $7 |
| 7 | Naples HMA LLC Naples, FL | $13 | $12 | $3 | 25% | — | $2 – $13 |
| 8 | Naples HMA LLC Naples, FL | $13 | $12 | $3 | 25% | — | $2 – $13 |
| 9 | Northwest Sahurita Hospital LLC Tucson, AZ | $0 | $0 | $0 | 2% | — | $0 – $2 |
| 10 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $0 | $0 | $0 | 2% | — | $0 – $2 |
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