NDC 904693181
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
polyethylene glycol 17 g per packet Pwpk 100 each
Minneapolis, MN
See all hospitals reporting NDC 904693181 →Price type
Allina Health Systems’s median price of $4 is 66% below the median hospital's median price ($11), higher than 13% of the 39 hospitals reporting NDC 904693181. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Last updated: Jun 16, 2026
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