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
citric acid/gluconodelta-lactone/Mg carbonate - SOLN
BEAVER, PA
See all hospitals reporting HCPCS Q2004 →Price type
Heritage Valley Beaver’s median price of $3 is 97% below the median hospital's median price ($105), higher than 1% of the 975 hospitals reporting HCPCS Q2004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 4 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Cigna cigna healthcare percent of total billed charges · bothfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 2 | UnitedHealthcare united healthcare all payer other · both | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Aetna aetna health percent of total billed charges · bothfrom % of charges | $3 | $3 | — | — | — | $3 – $3 |
| 4 | UnitedHealthcare united healthcare medicaid fee schedule · both | $6 | $6 | — | — | — | $6 – $6 |
Last updated: Mar 27, 2026
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