NDC 00904-6422-81
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.
Generation details were not recorded for this description.
Original text from hospital filings
Polyethylene Glycol 3350 Packet 17 GM
Muncie, IN
See all hospitals reporting NDC 00904-6422-81 →Price type
Indiana University Health Ball Memorial Hospital Inc.’s median price of $9 is about the same as the median hospital's median price ($9), higher than 48% of the 71 hospitals reporting NDC 00904-6422-81. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Last updated: Mar 25, 2026
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